Active NPI
Rohun Medical Corporation
- Specialist
- Lakewood, CA
National Provider Identifier
1154693307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A61869
- Legal business name
- ROHUN MEDICAL CORPORATION
- Practice address
- 3300 E South St
Suite 206
Lakewood, CA 90805-4549 - Phone
- (562) 232-2378
- Fax
- (562) 232-2379
- NPI assigned
- Feb 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gnyandev S Patel, M.D.
- Title
- President
- Phone
- (562) 232-2378
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A61869 | CA | Primary |
Addresses
Primary practice location
3300 E South St
Suite 206
Lakewood, CA 90805-4549
Mailing address
PO Box 189
Bellflower, CA 90707-0189
Phone (562) 232-2378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2136710 | Rohun Medical | Certificate of waiver | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Lakewood, CA
- NPI 1376593657
-
- Family Nurse Practitioner
- San Pedro, CA
- NPI 1457623969
-
- Family Medicine Physician
- Torrance, CA
- NPI 1932159530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1154693307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907070189",
"telephone_number": "562-232-2378",
"fax_number": "562-232-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 E SOUTH ST",
"address_2": "SUITE 206",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "908054549",
"telephone_number": "562-232-2378",
"fax_number": "562-232-2379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROHUN MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "GNYANDEV",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-232-2378",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A61869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.