Todd C Rau MD Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

TODD C RAU MD INC

Practice address

1467 Ford St Ste 101
Redlands, CA 92373-3911

Phone

(909) 792-1100

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Swanson

Title

Manager

Phone

(951) 738-0968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Coleman Rau, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Redlands, CA
  • NPI 1023030319
  Medicare reassignment NPD
• Fred F Soeprono, M.D.

  • Dermatology Physician
  • Loma Linda, CA
  • NPI 1659485746
  NPD
• Jennifer Darlene Hayhurst, P.A.-C.

  • Physician Assistant
  • Redlands, CA
  • NPI 1649664079
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1609448802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733911",
            "telephone_number": "909-792-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733911",
            "telephone_number": "909-792-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD C RAU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-738-0968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrica Thormahlen, OPTICAN
• Martha Holland Thorson, D.MIN., M.A.
• Thrifty Payless Inc
• Thrive Pediatrics
• Ei Ei Thu, MD
• Guy Timothy Todd, CMT
• Kevin S Togatorop
• Gerardo Alberto Toledo, D.D.S.
• Christopher Kan-Yuen Tom, PHARMD
• Teri Tom, RD

• Plastic and Reconstructive Surgery Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.

Verify at the official NPI Registry.