R. Nandan, M.D., Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A51197 Issued in CA

Legal business name

R. NANDAN, M.D., INC

Practice address

3650 South St
212
Lakewood, CA 90712-1502

Phone

(562) 272-7630

Fax

(562) 272-7631

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Raghu Nandan, M.DNPI 1861463606

Title

President

Phone

(562) 272-7630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Raghu Nandan, M.D

  • Hematology & Oncology Physician
  • Lakewood, CA
  • NPI 1861463606
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1639196579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "212",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-272-7630",
            "fax_number": "562-272-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST",
            "address_2": "212",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121502",
            "telephone_number": "562-272-7630",
            "fax_number": "562-272-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. NANDAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "NANDAN",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-272-7630",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A51197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayana Queiroz, RDN
• Sophia Quinonez
• Charma Rodriguez Quiroga, P.T
• Marissa Quiros
• R. Nandan, M.D., Inc
• Liana Rachmani
• Raghavendra Olety, DDS, Inc.
• Ralphs Grocery Company
• Cristian Ramirez-Rodriguez
• Monica Ramirez

• Hematology & Oncology Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.