Organization Active NPI

Ram R Nemani, M.D Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1144361197
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A30934 Issued in CA
Legal business name
RAM R NEMANI, M.D INC
Practice address
11645 Wilshire Blvd Ste 701
Los Angeles, CA 90025-6810
Phone
(310) 828-6081
Fax
(310) 828-2775
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Dr. Ramachandra R Nemani, M.DNPI 1235276478
Title
President
Phone
(310) 828-6081

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A30934 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 701
Los Angeles, CA 90025-6810

Mailing address

2001 Santa Monica Blvd
Ste# 685 West
Santa Monica, CA 90404-2102
Phone (310) 828-6081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000727 CA Part B Supplier - Clinic/Group Practice 7719048594 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

11645 Wilshire Blvd
Ste 701
Los Angeles, CA 90025
Phone (310) 231-9500

2001 Santa Monica Blvd
Ste 685W
Santa Monica, CA 90404
Phone (310) 829-9400

Practitioners & affiliated clinicians

Practitioners 1

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1144361197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "STE# 685 WEST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-6081",
            "fax_number": "310-828-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-828-6081",
            "fax_number": "310-828-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM R NEMANI, M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "NEMANI",
        "authorized_official_first_name": "RAMACHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-828-6081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.