Organization Active NPI

Michael B Rankin MD Inc.

  • Internal Medicine Physician
  • Agoura Hills, CA
National Provider Identifier
1629783071
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MICHAEL B RANKIN MD INC.
Practice address
30497 Canwood St Ste 200
Agoura Hills, CA 91301-4330
Phone
(818) 206-3066
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Michael B Rankin, MD
Title
Owner
Phone
(818) 206-3066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

30497 Canwood St Ste 200
Agoura Hills, CA 91301-4330

Mailing address

30497 Canwood St Ste 200
Agoura Hills, CA 91301-4330
Phone (818) 206-3066

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@lifestylehealthservices.com

National Provider Directory

National Provider Directory

Locations

30497 Canwood St
Ste 200
Agoura Hills, CA 91301
Phone (818) 206-3066

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1629783071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30497 CANWOOD ST STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014330",
            "telephone_number": "818-206-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30497 CANWOOD ST STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014330",
            "telephone_number": "818-206-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B RANKIN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-206-3066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lifestylehealthservices.com",
            "affiliation": "N",
            "address_1": "30497 Canwood St Ste 200",
            "city": "Agoura Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913014330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.