Dennis Thomas Lange, M.D,

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G68910 Issued in CA

Practice address

101 E Beverly Blvd
Suite 304
Montebello, CA 90640-4300

Phone

(323) 722-7418

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Montebello Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montebello, CA
  • NPI 1548231251
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336224757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 DEER PARK CT",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950326620",
            "telephone_number": "408-358-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "SUITE 304",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404300",
            "telephone_number": "323-722-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "DENNIS",
        "middle_name": "THOMAS",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G68910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G689100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "G68910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Khine Kyaw, M.D.
• L a County Nephrology Associates a Medical Corporation
• L a Urgent Care Medical Center
• Lacna Dialysis Access Center, LLC
• Bonnie J. Lance, DPM
• Latino Kids Health
• Latino Kids Health
• Latino Kids Health
• Latinocare Partners Medical Group
• Angela Lau

• Nephrology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.