Active NPI
Rafael Lemus-Rangel MD a Medical Corporation
- Surgery Physician
- Lancaster, CA
National Provider Identifier
1487915120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A107205
- Legal business name
- RAFAEL LEMUS-RANGEL MD A MEDICAL CORPORATION
- Practice address
- 1658 W Avenue J
Lancaster, CA 93534-2814 - Phone
- (661) 942-8855
- Fax
- (972) 616-5118
- NPI assigned
- May 29, 2012
- Last updated
- Aug 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rafael Lemus-Rangel
- Title
- President
- Phone
- (661) 942-8855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A107205 | CA | Primary |
Addresses
Primary practice location
1658 W Avenue J
Lancaster, CA 93534-2814
Mailing address
25050 Avenue Kearny
Suite 208
Valencia, CA 91355-1255
Phone (661) 430-0940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A107205 | Other | CA | PRESIDENT MEDICAL STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Surgery Physician
- Lancaster, CA
- NPI 1609102433
-
- Family Nurse Practitioner
- Palmdale, CA
- NPI 1942745427
-
- Physician Assistant
- Lancaster, CA
- NPI 1619281631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471219200000",
"number": "1487915120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25050 AVENUE KEARNY",
"address_2": "SUITE 208",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551255",
"telephone_number": "661-430-0940",
"fax_number": "661-295-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342814",
"telephone_number": "661-942-8855",
"fax_number": "972-616-5118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAFAEL LEMUS-RANGEL MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-29",
"last_updated": "2016-08-15",
"status": "A",
"authorized_official_last_name": "LEMUS-RANGEL",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-942-8855",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A107205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESIDENT MEDICAL STATE LICENSE NUMBER",
"identifier": "A107205",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.