Active NPI
Ranjit Shenoy, M.D.
- Internal Medicine Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C52509
- Practice address
- 3612 Dale Rd
Modesto, CA 95356-0500 - Phone
- (209) 522-0146
- NPI assigned
- Feb 3, 2006
- Last updated
- Jun 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 113851 | MO | |
| Pediatrics Physician | 208000000X | C52509 | CA | |
| Internal Medicine Physician | 207R00000X | C52509 | CA | Primary |
Addresses
Primary practice location
3612 Dale Rd
Modesto, CA 95356-0500
Mailing address
1913 Sunny Park Dr
Modesto, CA 95355-9707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pomona Community Health Center
Practice addresses (Care Compare)
1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 984-7384
2680 E Riverside Dr
Ontario, CA 91761-7307
Phone (909) 630-7927
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior's Choice Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Mommy and Me Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| Valenzuela Medical Group I, Inc. | Pediatrics | Current | Accepting new patients |
| Pomona Community Health Center | Past | Accepting new patients | |
| Central City Community Health Center Inc | Past | Accepting new patients | |
| Twin Rivers Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Physician Groups LC | Internal Medicine | Past | Accepting new patients |
| Callaway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Reuben C Castillo, Professional Corporation | Past | Accepting new patients |
Locations
24226 Sunnymead Blvd
Moreno Valley, CA 92553
Phone (909) 609-6833
498 W 4th St
Perris, CA 92570
Phone (951) 657-5441
416 W Foothill Blvd
Rialto, CA 92376
Phone (909) 421-0493
4190 Chicago Ave
Riverside, CA 92507
Phone (951) 632-2106
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ranjit.shenoy.p2@direct.mpmccorp.nextgenshare.com
- ranjit.shenoy.p6@direct.mpmccorp.nextgenshare.com
- ranjit.shenoy@direct.parktreechc.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba My Family & Me Primary Care - Sunnymead
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1952485641
Pediatrics
-
- Family Medicine Physician
- Fontana, CA
- NPI 1023506672
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Community Health Clinic/Center
- Ontario, CA
- NPI 1154788560
-
- General Practice Physician
- Perris, CA
- NPI 1942429188
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1922054543
-
- Emergency Medicine Physician
- Kennett, MO
- NPI 1184668907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1407828585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 SUNNY PARK DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 DALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953560500",
"telephone_number": "209-522-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOY",
"first_name": "RANJIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "113851",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C52509",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C52509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.