Active NPI
Shaunak Vijay Rana, M.D.
- Nephrology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A117404
- Practice address
- 1804 Garnet Ave
#721
San Diego, CA 92109-3352 - Phone
- (312) 863-9100
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036.117500 | IL | |
| Internal Medicine Physician | 207R00000X | A117404 | CA | |
| Hospitalist Physician | 208M00000X | A117404 | CA | |
| Nephrology Physician | 207RN0300X | A117404 | CA | Primary |
Addresses
Primary practice location
1804 Garnet Ave
#721
San Diego, CA 92109-3352
Mailing address
1804 Garnet Ave
#721
San Diego, CA 92109-3352
Phone (619) 740-6000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117404 | CA | MD | Social Worker |
| 036.117500 | IL | MD | Nephrology Physician |
| A117404 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Family Medicine | Current | Accepting new patients |
| Stem Medical Group, PC | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Nephrology | Current | Accepting new patients |
| UC Regents | Current | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
1905 Calle Barcelona
Ste 211
Carlsbad, CA 92009
Phone (858) 766-6007
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
7855 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 869-0188
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474
501 S Cherry St
Ste 1100
Denver, CO 80246
Phone (404) 227-4864
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1629026729
-
- Nephrology Physician
- Orange, CA
- NPI 1942258033
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1205046182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 GARNET AVE",
"address_2": "#721",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093352",
"telephone_number": "619-740-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 GARNET AVE",
"address_2": "#721",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921093352",
"telephone_number": "312-863-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANA",
"first_name": "SHAUNAK",
"middle_name": "VIJAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036.117500",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A117404",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A117404",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A117404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.