Individual provider Active NPI

Rachel Hannako Rangwala, M.D.

  • Blood Banking & Transfusion Medicine Physician
  • Palos Verdes Estates, CA
National Provider Identifier
1063653350
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blood Banking & Transfusion Medicine PhysicianTaxonomy code 207ZB0001X
License
A108329 Issued in CA
Practice address
3101 Via la Selva
Palos Verdes Estates, CA 90274-1049
Phone
(404) 483-1155
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Blood Banking & Transfusion Medicine Physician 207ZB0001X A108329 CA Primary

Addresses

Primary practice location

3101 Via la Selva
Palos Verdes Estates, CA 90274-1049

Mailing address

1140 N Vista St Apt 1
West Hollywood, CA 90046-5630

Other practice location 1

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone (310) 825-2018

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210115001131 CA Order and Referring Only - PathologyPractitioner - Pathology 0648407320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108329CAMDBlood Banking & Transfusion Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1063653350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N VISTA ST APT 1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 VIA LA SELVA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741049",
            "telephone_number": "404-483-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-825-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGWALA",
        "first_name": "RACHEL",
        "middle_name": "HANNAKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "CA",
            "license": "A108329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Verdes Estates, CA

Sources for this page

Verify at the official NPI Registry.