Active NPI
Loretta Rao, MD
- Pediatrics Physician
- Freedom, CA
National Provider Identifier
1396921037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A303280
- Practice address
- 252 Green Valley Rd
Freedom, CA 95019-3138 - Phone
- (831) 722-0272
- Fax
- (831) 722-1007
- NPI assigned
- Jan 11, 2008
- Last updated
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A303280 | CA | Primary |
Addresses
Primary practice location
252 Green Valley Rd
Freedom, CA 95019-3138
Mailing address
252 Green Valley Rd
Freedom, CA 95019-3138
Phone (831) 722-0272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A303280 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A303280 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1396921037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 GREEN VALLEY RD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193138",
"telephone_number": "831-722-0272",
"fax_number": "831-722-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 GREEN VALLEY RD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193138",
"telephone_number": "831-722-0272",
"fax_number": "831-722-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "LORETTA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A303280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A303280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freedom, CA
- Pulmonary Solutions, LLC (ProSUM Health Respiratory)
- Rachelle's Home Inc.
- Radiology Medical Group of Santa Cruz County Inc
- Rael Bernstein D.D.S., a Professional Corporation
- Julius Angelo Llanes Ramirez, MD
- Leroy Mario Rasi, M.D.
- Prabodh Deokaranji Rathi, MD
- Francisco Lardizahal Ravago, MD
- Rachelle P Recinto
- Deborah D Roisman, RNNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.