Organization Active NPI

R. Nandan, M.D., Inc

  • Non-Pharmacy Dispensing Site
  • Lakewood, CA
National Provider Identifier
1255148490
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
R. NANDAN, M.D., INC
Practice address
3650 South St Ste 212
Lakewood, CA 90712-1528
Phone
(562) 272-7630
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Raghu Nandan, MDNPI 1861463606
Title
President
Phone
(562) 272-7630

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3650 South St Ste 212
Lakewood, CA 90712-1528

Mailing address

3650 South St Ste 212
Lakewood, CA 90712-1528
Phone (562) 272-7630

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.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1255148490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 212",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121528",
            "telephone_number": "562-272-7630",
            "fax_number": "562-272-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 212",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121528",
            "telephone_number": "562-272-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. NANDAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "NANDAN",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-272-7630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.