Organization Active NPI

Mohan Rao, MD, Inc.

  • Nephrology Physician
  • Alhambra, CA
National Provider Identifier
1174761308
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A 62446 Issued in CA
Legal business name
MOHAN RAO, MD, INC.
Practice address
114 S Marguerita Ave
#2
Alhambra, CA 91801-3219
Phone
(626) 331-1560
NPI assigned
Jan 26, 2009
Last updated
Sep 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Mohan P Rao, MDNPI 1265467435
Title
Doctor
Phone
(626) 331-1560

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
Nephrology Physician 207RN0300X A 62446 CA Primary

Addresses

Primary practice location

114 S Marguerita Ave
#2
Alhambra, CA 91801-3219

Mailing address

114 S Marguerita Ave
#2
Alhambra, CA 91801-3219
Phone (626) 331-1560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000836 CA Part B Supplier - Clinic/Group Practice 0547385213 Receives reassigned benefits from 1 practitioner
Practice locations: S El Monte, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1174761308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MARGUERITA AVE",
            "address_2": "#2",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013219",
            "telephone_number": "626-331-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MARGUERITA AVE",
            "address_2": "#2",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013219",
            "telephone_number": "626-331-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN RAO, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-331-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A 62446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.