Organization Active NPI

Ranadive MD Inc

  • Internal Medicine Physician
  • Petaluma, CA
National Provider Identifier
1295784346
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RANADIVE MD INC
Practice address
141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390
Phone
(707) 763-0802
Fax
(707) 763-0803
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Rajesh K Ranadive, MD
Title
Owner
Phone
(707) 763-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390

Mailing address

141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390
Phone (707) 763-0802

National Provider Directory

National Provider Directory

Locations

161 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 766-1566

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1295784346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542390",
            "telephone_number": "707-763-0802",
            "fax_number": "707-763-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542390",
            "telephone_number": "707-763-0802",
            "fax_number": "707-763-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANADIVE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "RANADIVE",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-763-0802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.