Individual provider Active NPI

Rafael Lemus-Rangel, M.D.

  • Surgery Physician
  • Lancaster, CA
National Provider Identifier
1609102433
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A107205 Issued in CA
Practice address
1658 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 942-8855
Fax
(972) 616-5118
NPI assigned
Oct 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 91355-1257
Phone (661) 430-0940

Other identifiers 1

IdentifierTypeStateIssuer
A107205OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000588 CA Practitioner - General Surgery 4688719107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Rafael Lemus-Rangel MD a Medical CorporationGroup PAC ID 5294990255, 2 clinicians

Practice addresses (Care Compare)

28600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

38920 Trade Ctr Dr
Palmdale, CA 93551-3715
Phone (661) 942-8855

Hospital & facility affiliations

  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107205CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael Lemus-Rangel MD a Medical Corporation Surgery CurrentSince Jun 1, 2012 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
John M Compoginis MD Inc Surgery Past Accepting new patients

Locations

1658 W Avenue J
Lancaster, CA 93534
Phone (661) 942-6565

38920 Trade Center Dr
Palmdale, CA 93551
Phone (661) 382-0221

222 W Henderson Ave
Porterville, CA 93257
Phone (559) 784-5483

25050 Avenue Kearny
Ste 208
Valencia, CA 91355
Phone (805) 295-0859

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 2

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1609102433",
    "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": "913551257",
            "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": {
        "last_name": "LEMUS-RANGEL",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A107205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A107205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.