Organization Active NPI

Ranjan K Sapra M.D a Medical Corporation

  • Hematology & Oncology Physician
  • Fountain Valley, CA
National Provider Identifier
1306858782
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A35672 Issued in CA
Legal business name
RANJAN K SAPRA M.D A MEDICAL CORPORATION
Practice address
11190 Warner Ave
Fountain Valley, CA 92708
Phone
(714) 432-7500
Fax
(714) 432-7520
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Ranjan K Sapra, MD
Title
Owner
Phone
(714) 432-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X A35672 CA Primary

Addresses

Primary practice location

11190 Warner Ave
Fountain Valley, CA 92708

Mailing address

11190 Warner Ave #405
Fountain Valley, CA 92708
Phone (714) 432-7500

Other identifiers 1

IdentifierTypeStateIssuer
00A356722MedicaidCA

National Provider Directory

National Provider Directory

Locations

11190 Warner Ave
Ste 405
Fountain Vly, CA 92708
Phone (714) 432-7500

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1306858782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE #405",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-432-7500",
            "fax_number": "714-432-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-432-7500",
            "fax_number": "714-432-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANJAN K SAPRA M.D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SAPRA",
        "authorized_official_first_name": "RANJAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-432-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A35672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A356722",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.