Kamineni S Rao, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A348970 Issued in CA

Practice address

11015 Olson Dr
Suite 3
Rancho Cordova, CA 95670

Phone

(916) 635-5375

Fax

(916) 635-2145

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Scharruhn & Barley Professional Medical Corp

  • Family Medicine Physician
  • Placerville, CA
  • NPI 1811080336
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1508905688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 OLSON DR",
            "address_2": "SUITE 3",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-635-5375",
            "fax_number": "916-635-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 OLSON DR",
            "address_2": "SUITE 3",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-635-5375",
            "fax_number": "916-635-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "KAMINENI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A348970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A348970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rancho Cordova Surgery Center, LLC
• Rancho Residential LLC
• Adrian Joshua Rangel
• Juliana M Rangel
• Tanica Rangel, DOULA
• John Rastad, LVN
• Ray of Sunlight
• Ray of Sunlight Health Psychiatric Nursing Inc
• RC Alcohol and Drug Treatment Center Inc.
• RC Dental Group

• Allergy & Immunology Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.