Organization Active NPI

Randy Karu, M.D., Inc.

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1407936032
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41836 Issued in CA
Legal business name
RANDY KARU, M.D., INC.
Practice address
1900 Royalty Dr Ste 250
Pomona, CA 91767-3043
Phone
(909) 623-6581
Fax
(909) 623-1751
NPI assigned
Oct 17, 2006
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Dr. Ranjit Nihal Karu, M.D.
Title
President/Owner
Phone
(909) 623-6581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41836 CA Primary

Addresses

Primary practice location

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043

Mailing address

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043
Phone (909) 623-6581

Other identifiers 1

IdentifierTypeStateIssuer
000A418360MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100507000560 CA Part B Supplier - Clinic/Group Practice 3173658887 Receives reassigned benefits from 2 practitioners
Practice locations: San Dimas, CA; Pomona, CA; Ontario, CA; Laverne, CA; La Verne, CA; Claremont, CA

National Provider Directory

National Provider Directory

Locations

1425 Laurel Ave
Pomona, CA 91768
Phone (909) 622-1069

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1407936032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-623-6581",
            "fax_number": "909-623-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-623-6581",
            "fax_number": "909-623-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY KARU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "KARU",
        "authorized_official_first_name": "RANJIT",
        "authorized_official_middle_name": "NIHAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-623-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A418360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.