Individual provider Active NPI

Rogelio Ramos Rabanera, MD

  • Gastroenterology Physician
  • Bellflower, CA
National Provider Identifier
1144217589
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A25752 Issued in CA
Practice address
10230 Artesia Blvd
Ste 104
Bellflower, CA 90706-6763
Phone
(562) 867-2796
Fax
(562) 867-0378
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A25752 CA Primary

Addresses

Primary practice location

10230 Artesia Blvd
Ste 104
Bellflower, CA 90706-6763

Mailing address

10230 Artesia Blvd
Ste 104
Bellflower, CA 90706-6763
Phone (562) 867-2796

Other identifiers 1

IdentifierTypeStateIssuer
00A257520MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1144217589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "STE 104",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066763",
            "telephone_number": "562-867-2796",
            "fax_number": "562-867-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "STE 104",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066763",
            "telephone_number": "562-867-2796",
            "fax_number": "562-867-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABANERA",
        "first_name": "ROGELIO",
        "middle_name": "RAMOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A25752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A257520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.