NPIMap

Individual provider Active NPI

Mohan Padamannur Rao, MD

  • Internal Medicine Physician
  • South El Monte, CA
National Provider Identifier
1265467435
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A62446 Issued in CA
Practice address
1648 Tyler Avenue
Suite B
South El Monte, CA 91733
Phone
(626) 331-1560
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A62446 CA
Internal Medicine Physician 207R00000X A62446 CA Primary

Addresses

Primary practice location

1648 Tyler Avenue
Suite B
South El Monte, CA 91733

Mailing address

114 S Marguerita Ave Apt 2
Alhambra, CA 91801-3219
Phone (626) 688-8656

Other identifiers 1

IdentifierTypeStateIssuer
00A624460MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000518 CA Practitioner - NephrologyPractitioner - Internal Medicine 5991832594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62446CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohan Rao, MD, Inc. Nephrology CurrentSince Aug 1, 2010 Accepting new patients
Lakhi M. Sakhrani MD, a Medical Corporation PastSince Sep 5, 2023 Accepting new patients
Medwin Hospitalist and Healthcare Network Past Accepting new patients
Medwin a Professional Corporation PastSince Aug 30, 2009 Accepting new patients

Locations

1648 Tyler Ave
Ste B
South El Monte, CA 91733
Phone (626) 331-1560

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Organizations & group practices 4

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

Hospital & facility affiliations

  • Tristar Home Health Care, Inc Home health agency, Northridge, CA, CCN 559499
  • Insight Home Health Care, Inc Home health agency, Mission Hills, CA, CCN 753190
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281
  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • Kindred Hospital Baldwin Park Long-term care hospital, Baldwin Park, CA, CCN 052045
  • Kindred Hospital Paramount Long-term care hospital, Paramount, CA, CCN 052046
  • Monrovia Memorial Hospital Long-term care hospital, Monrovia, CA, CCN 052054
  • Sunset Manor Conv Hosp Nursing home, El Monte, CA, CCN 055104
  • Santa Anita Convalescent Hospital Nursing home, Temple City, CA, CCN 055293
  • Monterey Park Conv Hosp Nursing home, Monterey Park, CA, CCN 055162
  • Heritage Manor Nursing home, Monterey Park, CA, CCN 055989
  • Live Oak Rehab Center Nursing home, San Gabriel, CA, CCN 056127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1265467435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MARGUERITA AVE APT 2",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013219",
            "telephone_number": "626-688-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 TYLER AVENUE",
            "address_2": "SUITE B",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "91733",
            "telephone_number": "626-331-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "MOHAN",
        "middle_name": "PADAMANNUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A62446",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A624460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South El Monte, CA

Sources for this page

Verify at the official NPI Registry.