Active NPI
Chengalroyan Raghunathan, MD
- Interventional Cardiology Physician
- Paramount, CA
National Provider Identifier
1407904089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A303390
- Practice address
- 16660 Paramount Blvd Ste 202
Paramount, CA 90723-5457 - Phone
- (562) 663-9191
- Fax
- (562) 663-9111
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A303390 | CA | Primary |
Addresses
Primary practice location
16660 Paramount Blvd Ste 202
Paramount, CA 90723-5457
Mailing address
16660 Paramount Blvd Ste 202
Paramount, CA 90723-5457
Phone (562) 663-9191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953548420 | Other | CA | TAX ID |
| 00A303390 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090108000398 | CA | Practitioner - Cardiovascular Disease (Cardiology) | 4880757418 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A303390 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Raghunathan MD Inc | Current | Accepting new patients | |
| R Srinivasan MD Inc | Past | Accepting new patients |
Locations
16660 Paramount Blvd
Ste 202
Paramount, CA 90723
Phone (562) 663-3131
16660 Paramount Blvd
Ste 2
Paramount, CA 90723
Phone (562) 663-9191
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Paramount, CA
- NPI 1346410859
-
- Rheumatology Physician
- Monterey Park, CA
- NPI 1780733923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1407904089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16660 PARAMOUNT BLVD STE 202",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235457",
"telephone_number": "562-663-9191",
"fax_number": "562-663-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16660 PARAMOUNT BLVD STE 202",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235457",
"telephone_number": "562-663-9191",
"fax_number": "562-663-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHUNATHAN",
"first_name": "CHENGALROYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A303390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "953548420",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A303390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramount, CA
- Prohealth Partners a Medical Group
- Promise Hospital of East Los Angeles LP
- Prompt Medical Equipment
- Prospective Ambulance Inc
- Luis Alfonso Pulido
- Kimberly Ramirez
- Ramon Cabrera a Professional Dental Corporation
- Ramon Cabrera Dentistry of Paramount Inc.
- Ashley Nicole Reamer, ATC
- Rescue One Ambulance Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.