Organization Active NPI

Ranjit a. Cordeiro MD Inc.

  • Nephrology Physician
  • Covina, CA
National Provider Identifier
1033272992
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A54871 Issued in CA
Legal business name
RANJIT A. CORDEIRO MD INC.
Practice address
110 N 4TH Ave
Covina, CA 91723-1825
Phone
(626) 966-3499
Fax
(626) 966-3433
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ranjit Alexius Cordeiro, M.D.NPI 1417950957
Title
President
Phone
(323) 838-5434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A54871 CA Primary

Addresses

Primary practice location

110 N 4TH Ave
Covina, CA 91723-1825

Mailing address

1012 W. Beverly Blvd.
#1001
Montebello, CA 90640-4139
Phone (323) 838-5434

Other identifiers 1

IdentifierTypeStateIssuer
00A548710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921000544 CA Part B Supplier - Clinic/Group Practice 9830123611 Receives reassigned benefits from 1 practitioner
Practice locations: Baldwin Park, CA; Covina, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1033272992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W. BEVERLY BLVD.",
            "address_2": "#1001",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404139",
            "telephone_number": "323-838-5434",
            "fax_number": "323-838-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 4TH AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231825",
            "telephone_number": "626-966-3499",
            "fax_number": "626-966-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANJIT A. CORDEIRO MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "CORDEIRO",
        "authorized_official_first_name": "RANJIT",
        "authorized_official_middle_name": "ALEXIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-838-5434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A54871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A548710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.