Active NPI
Ronak B. Garg, MD
- Hospitalist Physician
- Rancho Palos Verdes, CA
National Provider Identifier
1477828267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 000000000
- Practice address
- 28319 Plainfield Dr
Rancho Palos Verdes, CA 90275-3145 - Phone
- (310) 483-3794
- Fax
- (323) 776-1499
- NPI assigned
- Mar 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 000000000 | IL | |
| Hospitalist Physician | 208M00000X | 000000000 | IL | Primary |
Addresses
Primary practice location
28319 Plainfield Dr
Rancho Palos Verdes, CA 90275-3145
Mailing address
28319 Plainfield Dr
Rancho Palos Verdes, CA 90275-3145
Phone (310) 483-3794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036133504 | Other | IL | IDFPR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000000 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health System Southern California | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- rgarg425038@oc.providencedirect.org
Organizations & group practices 3
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.
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1477828267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28319 PLAINFIELD DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902753145",
"telephone_number": "310-483-3794",
"fax_number": "323-776-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28319 PLAINFIELD DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902753145",
"telephone_number": "310-483-3794",
"fax_number": "323-776-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARG",
"first_name": "RONAK",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "000000000",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "000000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "036133504",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.