Active NPI
Cong Ran
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- A167718
- Practice address
- 1317 5TH St Ste 300
Santa Monica, CA 90401-1433 - Phone
- (310) 434-0044
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | A167718 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | A167718 | CA | Primary |
Addresses
Primary practice location
1317 5TH St Ste 300
Santa Monica, CA 90401-1433
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Geisel School of Medicine at Dartmouth, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 S Locust St
Inglewood, CA 90301-1812
Phone (323) 306-9632
1300 N Vermont Ave
Suite 605
Los Angeles, CA 90027-6088
Phone (323) 593-7682
1414 S Grand Ave
Suite 123
Los Angeles, CA 90015-3071
Phone (213) 977-1215
1700 E Cesar E Chavez Ave
Suite 2500
Los Angeles, CA 90033-2434
Phone (323) 268-6731
18546 Roscoe Blvd
Suite 200
Northridge, CA 91324-5453
Phone (323) 306-9632
41250 12TH St W
Suite C
Palmdale, CA 93551-1444
Phone (323) 268-6731
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167718 | CA | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geoffrey Trenkle DO a Professional Medical Corporation | Otolaryngology | Current | Accepting new patients |
| Mark Youssef a Medical Corporation | Otolaryngology | Current | Accepting new patients |
| Employee Medical Consultants PC | Past | Accepting new patients | |
| Samir a Shah MD Professional Corporation | Past | Accepting new patients | |
| Citrus Valley Medical Associates, Inc. | Past | Accepting new patients | |
| Arman Torbati DDS | Past | Accepting new patients | |
| Michael R. Gatto MD, Inc. | Otolaryngology | Past | Accepting new patients |
Locations
488 E Santa Clara St
Ste 202
Arcadia, CA 91006
1820 Fullerton Ave
Ste 115
Corona, CA 92881
Phone (951) 817-5000
1577 E Chevy Chase Dr
Ste 330
Glendale, CA 91206
Phone (818) 553-8013
14650 Aviation Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 725-8505
14650 Aviation Blvd
Ste 200
Hawthorne, CA 90250
Phone (310) 539-2300
3268 E Gage Ave
Huntington Pk, CA 90255
Phone (323) 238-3324
103 S Locust St
Inglewood, CA 90301
Phone (310) 412-3277
1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996
1300 N Vermont Ave
Ste 605
Los Angeles, CA 90027
Phone (213) 662-8194
1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448
1700 E Cesar E Chavez Ave
Ste 2500
Los Angeles, CA 90033
Phone (323) 268-6731
3737 Martin Luther King Jr Blvd
#403
Lynwood, CA 90262
3737 Martin Luther King Jr Blvd
Ste 403
Lynwood, CA 90262
Phone (310) 635-2223
433 N 4th St
Ste 212
Montebello, CA 90640
Phone (323) 238-3324
18546 Roscoe Blvd
Ste 200
Northridge, CA 91324
Phone (818) 993-1112
1889 N Rice Ave
Ste 201
Oxnard, CA 93030
Phone (805) 600-1550
1180 N Indian Canyon Dr
Ste E311
Palm Springs, CA 92262
Phone (760) 320-4136
41250 12th St W
Ste C
Palmdale, CA 93551
Phone (323) 328-8059
800 Fairmount Ave
Ste 411
Pasadena, CA 91105
1551 Ocean Ave
Ste 200
Santa Monica, CA 90401
Phone (310) 394-0570
1317 5th St
Ste 300
Santa Monica, CA 90401
Phone (310) 434-0044
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1992124978
-
- Plastic Surgery Physician
- Santa Monica, CA
- NPI 1659698181
Otolaryngology
-
- Dentist
- Los Angeles, CA
- NPI 1992236517
-
- Family Medicine Physician
- Norco, CA
- NPI 1306033709
-
- Medical Specialty Clinic/Center
- Los Angeles, CA
- NPI 1558099325
-
- Otolaryngology Physician
- Palm Springs, CA
- NPI 1811991847
-
- Ophthalmology Physician
- Huntington Beach, CA
- NPI 1700197365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1194110700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 5TH ST STE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011433",
"telephone_number": "310-434-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAN",
"first_name": "CONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A167718",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "A167718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.