Individual provider Active NPI

Renato Torres Ranola, SA-C

  • Surgical Assistant
  • Tempe, AZ
National Provider Identifier
1457688178
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
09-162 Issued in CO
Practice address
2106 E Ellis Dr
Continental Villas East III
Tempe, AZ 85282-7426
Phone
(480) 966-0237
Fax
(480) 966-0237
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 09-162 CO Primary

Addresses

Primary practice location

2106 E Ellis Dr
Continental Villas East III
Tempe, AZ 85282-7426

Mailing address

2106 E Ellis Dr
Continental Villas East III
Tempe, AZ 85282-7426
Phone (480) 966-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09-162COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1457688178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E ELLIS DR",
            "address_2": "CONTINENTAL VILLAS EAST III",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827426",
            "telephone_number": "480-966-0237",
            "fax_number": "480-966-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E ELLIS DR",
            "address_2": "CONTINENTAL VILLAS EAST III",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827426",
            "telephone_number": "480-966-0237",
            "fax_number": "480-966-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANOLA",
        "first_name": "RENATO",
        "middle_name": "TORRES",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "09-162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.