Individual provider Active NPI

Rani Elias, MD

  • Pediatrics Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1194087155
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A121684 Issued in CA
Practice address
9710 19TH St
Rancho Cucamonga, CA 91737-3538
Phone
(909) 581-0008
Fax
(909) 581-0030
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A121684 CA Primary

Addresses

Primary practice location

9710 19TH St
Rancho Cucamonga, CA 91737-3538

Mailing address

9710 19TH St
Rancho Cucamonga, CA 91737-3538
Phone (909) 581-0008

Other practice location 1

10431 Lemon Ave Ste N
Rancho Cucamonga, CA 91737-3766
Phone (909) 581-0008

Other identifiers 1

IdentifierTypeStateIssuer
00A121684MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507001643 CA Practitioner - Pediatric Medicine 6305079856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121684CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc CurrentSince Mar 23, 2014 Accepting new patients
Rani Elias MD Inc Pediatrics Current Accepting new patients

Locations

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

9710 19th St
Rch Cucamonga, CA 91737
Phone (909) 581-0008

7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983

1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1194087155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 19TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373538",
            "telephone_number": "909-581-0008",
            "fax_number": "909-581-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 19TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373538",
            "telephone_number": "909-581-0008",
            "fax_number": "909-581-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10431 Lemon Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917373766",
            "country_code": "US",
            "telephone_number": "909-581-0008",
            "fax_number": "909-581-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "RANI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A121684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A121684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.