Active NPI
Hamendra T Rana, MD
- Internal Medicine Physician
- Santa Ana, CA
National Provider Identifier
1265497283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A30625
- Practice address
- 1913 E 17TH St
#106
Santa Ana, CA 92705-8627 - Phone
- (714) 547-6278
- Fax
- (714) 547-3335
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A30625 | CA | |
| Internal Medicine Physician | 207R00000X | A30625 | CA | Primary |
Addresses
Primary practice location
1913 E 17TH St
#106
Santa Ana, CA 92705-8627
Mailing address
1913 E 17TH St
#106
Santa Ana, CA 92705-8627
Phone (714) 547-6278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOA306252 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111031000360 | CA | Practitioner - Internal Medicine | 4284807660 | Practice locations: Santa Ana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1913 E 17TH St
Suite 106
Santa Ana, CA 92705-8627
Phone (714) 547-6278
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30625 | CA | MD | Pharmacy Technician |
| A30625 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Family Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1265497283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 E 17TH ST",
"address_2": "#106",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058627",
"telephone_number": "714-547-6278",
"fax_number": "714-547-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 E 17TH ST",
"address_2": "#106",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058627",
"telephone_number": "714-547-6278",
"fax_number": "714-547-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANA",
"first_name": "HAMENDRA",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A30625",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A30625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOA306252",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.