NPIMap

Individual provider Active NPI

Ramanath Dukkipati, M.D

  • Nephrology Physician
  • Northridge, CA
National Provider Identifier
1457570376
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A88861 Issued in CA
Practice address
18546 Roscoe Blvd Ste 110
Northridge, CA 91324-4667
Phone
(818) 993-5600
Fax
(818) 775-1509
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A88861 CA Primary

Addresses

Primary practice location

18546 Roscoe Blvd Ste 110
Northridge, CA 91324-4667

Mailing address

19373 Crystal Ridge LN
Northridge, CA 91326-3811
Phone (818) 518-7205

Other practice location 1

1000 W Carson St Bldg N-28
Torrance, CA 90502-2004
Phone (310) 222-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000373 CA Practitioner - NephrologyPractitioner - Internal Medicine 0547330656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension ConsultantsGroup PAC ID 3779724083, 2 clinicians
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

18531 Roscoe Blvd
Suite 206
Northridge, CA 91324-6200
Phone (818) 993-5600

18546 Roscoe Blvd
Suite 110
Northridge, CA 91324-4667
Phone (818) 993-5600

20911 Earl St
Suite 180
Torrance, CA 90503-4353
Phone (310) 370-7277

3816 Woodruff Ave
Long Beach, CA 90808-2146

7230 Medical Ctr Dr
Suite 305
West Hills, CA 91307-4012
Phone (818) 993-5600

Hospital & facility affiliations

  • DaVita Harbor UCLA Dialysis facility, Torrance, CA, CCN 052802
  • Northridge Kidney Care Center Dialysis facility, Northridge, CA, CCN 552853
  • DaVita Long Beach Harbor Dialysis facility, Long Beach, CA, CCN 552579
  • DaVita Warner Center Dialysis Dialysis facility, Woodland Hills, CA, CCN 552835
  • DaVita Westmont Dialysis facility, Los Angeles, CA, CCN 752513
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88861CAMDPharmacist
A88861CAMDNephrology Physician

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Prohealth Partners a Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2006 Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2006 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
Kidney and Hypertension Consultants Nephrology CurrentSince May 1, 2013 Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

18546 Roscoe Blvd
Ste 110
Northridge, CA 91324
Phone (818) 993-5600

18531 Roscoe Blvd
Ste 206
Northridge, CA 91324
Phone (818) 407-4822

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1124 W Carson St
Torrance, CA 90502
Phone (310) 222-2773

1000 W Carson St
Bldg N28
Torrance, CA 90502
Phone (310) 222-2728

21840 Normandie Ave
Torrance, CA 90502
Phone (310) 222-5015

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

21840 Normandie Ave
Ste 100
Torrance, CA 90502
Phone (310) 222-5015

21840 Normandie Ave
Ste 700
Torrance, CA 90502
Phone (310) 222-5101

7230 Medical Center Dr
Ste 305
West Hills, CA 91307
Phone (818) 888-3903

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1457570376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19373 CRYSTAL RIDGE LN",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263811",
            "telephone_number": "818-518-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 110",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244667",
            "telephone_number": "818-993-5600",
            "fax_number": "818-775-1509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St Bldg N-28",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKKIPATI",
        "first_name": "RAMANATH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A88861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.