Asen S Ranguelov, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

21373 Issued in CA

Practice address

11818 Riverside Dr
Apt 221
Valley Village, CA 91607-4077

Phone

(818) 470-4743

NPI assigned

Feb 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, Geffen School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dale J Brent MD a Medical CorporationGroup PAC ID 2264462613, 3 clinicians

Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

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.

• Dale J Brent MD a Medical Corporation

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1760687560
  Medicare reassignment Care Compare group NPD
• Geriheal PC

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1760014120
  Medicare reassignment Care Compare group NPD
• Yacoub Medical, Inc.

  • General Practice Physician
  • Montebello, CA
  • NPI 1477698512
  Medicare reassignment NPD

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1386917573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "STE 411",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-784-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 RIVERSIDE DR",
            "address_2": "APT 221",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074077",
            "telephone_number": "818-470-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGUELOV",
        "first_name": "ASEN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "538804",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "21373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Psych Services Inc
• Pro Ride Inc
• Misty Quiambao
• Jaya Shree Rajagopalan
• Ramin Ghayoori MD,Inc
• Donna K Reffett
• Cecilia Ramos Regalado
• Regional Health Services, Inc.
• Rehabulous Physical Therapy, Inc.
• Reliably Transport LLC

• Acute Care Nurse Practitioner in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.