Individual provider Active NPI

Randy Nihal Karu, M.D.

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1386645760
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41836 Issued in CA
Practice address
1900 Royalty Dr Ste 250
Pomona, CA 91767-3043
Phone
(909) 623-6581
Fax
(909) 623-1751
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41836 CA Primary

Addresses

Primary practice location

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043

Mailing address

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043
Phone (909) 623-6581

Other identifiers 1

IdentifierTypeStateIssuer
00A418360MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000728 CA Practitioner - Family Practice 8224173919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Congregational HomesGroup PAC ID 6901907245, 19 clinicians

Practice addresses (Care Compare)

1900 Royalty Dr
Suite 250
Pomona, CA 91767-3043
Phone (909) 623-6581

900 E Harrison Ave
Pomona, CA 91767-2075
Phone (909) 624-5061

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions29
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41836CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Randy Karu, M.D., Inc. Family Medicine CurrentSince Jul 25, 2011 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

1900 Royalty Dr
Ste 250
Pomona, CA 91767
Phone (909) 623-6581

1818 N Orange Grove Ave
Ste 103
Pomona, CA 91767
Phone (909) 438-7643

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1386645760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-623-6581",
            "fax_number": "909-623-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-623-6581",
            "fax_number": "909-623-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARU",
        "first_name": "RANDY",
        "middle_name": "NIHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A418360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.