M. Rajudin, M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A26154 Issued in CA

Legal business name

M. RAJUDIN, M.D., INC.

Practice address

3055 W Orange Ave Ste 204
Anaheim, CA 92804-3154

Phone

(714) 229-9500

Fax

(714) 229-9904

NPI assigned

Jun 24, 2014

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. M. Mash-Hoordin Rajudin, M.D.NPI 1790892230

Title

President

Phone

(714) 229-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• M Mash-Hoordin Rajudin, MD

  • Nephrology Physician
  • Anaheim, CA
  • NPI 1790892230
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1356756712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "SUITE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-229-9500",
            "fax_number": "714-229-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 W ORANGE AVE STE 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043154",
            "telephone_number": "714-229-9500",
            "fax_number": "714-229-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. RAJUDIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "RAJUDIN",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "MASH-HOORDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-229-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A26154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Glory Lynn, LCSW
• David A. Lyon, DO
• Adam Lyons
• Lawrence Gerard Lyons, PHD
• M & M Guest Home LLC (mmguesthome)
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• Vincent Ma
• Vivian T. Ma, M.S.
• Paynepualena Kahakulani Leimomi Ma'Ae
• Jennifer Maas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.