Individual provider Active NPI

Frank Stephen Ranuska, M.D.

  • Psychiatry Physician
  • San Rafael, CA
National Provider Identifier
1093910051
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G40501 Issued in CA
Practice address
49 Glenaire Dr
San Rafael, CA 94901-5279
Phone
(415) 378-7644
Fax
(415) 457-8618
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G40501 CA Primary

Addresses

Primary practice location

49 Glenaire Dr
San Rafael, CA 94901-5279

Mailing address

49 Glenaire Dr
San Rafael, CA 94901-5279
Phone (415) 378-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40501CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank S. Ranuska, M.D., Inc. CurrentSince Mar 18, 1985 Accepting new patients

Locations

2000 Van Ness Ave
Ste 333
San Francisco, CA 94109
Phone (415) 409-3611

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1093910051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GLENAIRE DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015279",
            "telephone_number": "415-378-7644",
            "fax_number": "415-457-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GLENAIRE DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015279",
            "telephone_number": "415-378-7644",
            "fax_number": "415-457-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANUSKA",
        "first_name": "FRANK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G40501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.