Organization Active NPI

Ratnaja Katneni MD Inc

  • Nephrology Physician
  • Newport Beach, CA
National Provider Identifier
1235525684
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C134129 Issued in CA
Legal business name
RATNAJA KATNENI MD INC
Practice address
20241 SW Birch St Ste 104
Newport Beach, CA 92660-1784
Phone
(949) 490-4044
Fax
(657) 218-4161
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Ratnaja Katneni, MDNPI 1790887610
Title
Physician/Owner
Phone
(657) 218-4082

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X C134129 CA Primary

Addresses

Primary practice location

20241 SW Birch St Ste 104
Newport Beach, CA 92660-1784

Mailing address

PO Box 1584
Newport Beach, CA 92659-0584
Phone (657) 218-4082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150727000392 CA Part B Supplier - Clinic/Group Practice 2466765045 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

20241 SW Birch St
Ste 104
Newport Beach, CA 92660
Phone (657) 218-4082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1235525684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590584",
            "telephone_number": "657-218-4082",
            "fax_number": "657-218-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20241 SW BIRCH ST STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601784",
            "telephone_number": "949-490-4044",
            "fax_number": "657-218-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATNAJA KATNENI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "KATNENI",
        "authorized_official_first_name": "RATNAJA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "657-218-4082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C134129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.