Individual provider Active NPI

Ranjit Shenoy, M.D.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1407828585
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52509 Issued in CA
Practice address
3612 Dale Rd
Modesto, CA 95356-0500
Phone
(209) 522-0146
NPI assigned
Feb 3, 2006
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000608 CA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 5496642332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pomona Community Health CenterGroup PAC ID 5890940605, shared by 3 NPIs, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Senior's Choice Medical Group, Inc. Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Mommy and Me Medical Group, Inc. Pediatrics CurrentSince Oct 1, 2025 Accepting new patients
Valenzuela Medical Group I, Inc. Pediatrics CurrentSince Oct 1, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ranjit.shenoy.p2@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: ranjit.shenoy.p6@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.