Active NPI
Ranadive MD Inc
- Internal Medicine Physician
- Petaluma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
- Last updated
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
161 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 766-1566
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Petaluma, CA
- NPI 1497704522
-
- Internal Medicine Physician
- Petaluma, CA
- NPI 1871710871
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.