Organization Active NPI

Sunil Rangappa, M.D., Inc

  • Cardiovascular Disease Physician
  • Granada Hills, CA
National Provider Identifier
1083991087
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SUNIL RANGAPPA, M.D., INC
Practice address
10605 Balboa Blvd Ste 210
Granada Hills, CA 91344-6345
Phone
(818) 305-5671
Fax
(818) 305-5672
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Sunil Rangappa, M.DNPI 1730392887
Title
President & Ceo
Phone
(310) 890-2364

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

10605 Balboa Blvd Ste 210
Granada Hills, CA 91344-6345

Mailing address

PO Box 5104
Beverly Hills, CA 90209-5104
Phone (310) 890-2364

Other identifiers 1

IdentifierTypeStateIssuer
DO299AOtherCAMEDICARE PART B

Other names 1

  • Socal Heart Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000466 CA Part B Supplier - Clinic/Group Practice 4385810035 Receives reassigned benefits from 1 practitioner
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Locations

10515 Balboa Blvd
Ste 375
Granada Hills, CA 91344
Phone (818) 305-5671

4080 14TH St 411
Riverside, CA 92501
Phone (310) 890-2364

Practitioners & affiliated clinicians

Practitioners 3

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1083991087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095104",
            "telephone_number": "310-890-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 210",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446345",
            "telephone_number": "818-305-5671",
            "fax_number": "818-305-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL RANGAPPA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "RANGAPPA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-890-2364",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "DO299A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Socal Heart Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Socal Heart Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.