Ranaya Nephrology

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RANAYA NEPHROLOGY

Practice address

18012 Wika Rd
Apple Valley, CA 92307-2125

Phone

(760) 662-7090

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Jimmy Pham, DO

Title

Physician

Phone

(760) 662-7090

Specialties & licenses 1

Addresses

Other names 1

• RANAYA NEPHROLOGY, INC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Tam Huy Tam Huy Pham, D.O.

  • Nephrology Physician
  • Apple Valley, CA
  • NPI 1982087391
  Medicare reassignment NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1144904996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD STE 220",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-515-6260",
            "fax_number": "949-863-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "760-662-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANAYA NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-662-7090",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANAYA NEPHROLOGY, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brenda Ramirez, PPS-210032194
• Jesus M. Ramirez Sr.
• Michelle Ramirez
• Jacqueline Ramos
• Lonese Ramsey
• Rancho Drugs Inc
• Randhir Kaboo M.D. Inc.
• Robin L Rask
• Rina Rasmussen
• Felicia Leana Rath

• Nephrology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.