Individual provider Active NPI

Namrata Landge Rana, BDS, MSD, MS

  • Pediatric Dentistry
  • Loma Linda, CA
National Provider Identifier
1033734512
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
109730 Issued in CA
Practice address
11092 Anderson St RM No3302
Loma Linda, CA 92350-2005
Phone
(408) 624-0420
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 109730 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11092 Anderson St RM No3302
Loma Linda, CA 92350-2005

Mailing address

11410 Turtleback LN
San Diego, CA 92127-2016
Phone (408) 624-0420

Other practice location 1

1919 7th Ave S # 304
Birmingham, AL 35233-2005
Phone (408) 624-0420

Other names 1

  • Dr. Namrata Pradeep Landge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811000738 CA Order and Referring Only - DentistPractitioner - Dentist 0840798732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1033734512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 TURTLEBACK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272016",
            "telephone_number": "408-624-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 ANDERSON ST RM NO3302",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923502005",
            "telephone_number": "408-624-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 7th Ave S # 304",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332005",
            "country_code": "US",
            "telephone_number": "408-624-0420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANA",
        "first_name": "NAMRATA",
        "middle_name": "LANDGE",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "109730",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAMRATA",
            "last_name": "LANDGE",
            "middle_name": "PRADEEP",
            "prefix": "DR.",
            "credential": "BDS, MSD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.