NPIMap

Individual provider Active NPI

Ronald P Lang, M.D.

  • Nephrology Physician
  • West Hollywood, CA
National Provider Identifier
1639230550
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G42331 Issued in CA
Practice address
8737 Beverly Blvd
Suite # 203
West Hollywood, CA 90048-1828
Phone
(323) 525-1111
Fax
(323) 525-1100
NPI assigned
Dec 13, 2006
Last updated
May 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G42331 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd
Suite # 203
West Hollywood, CA 90048-1828

Mailing address

PO Box 48107
Los Angeles, CA 90048-0107
Phone (323) 525-1118

Other identifiers 1

IdentifierTypeStateIssuer
00G423310MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000453 CA Practitioner - NephrologyPractitioner - Internal Medicine 1052324605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Hematology Oncology Medical Associates IncGroup PAC ID 8921091810, 7 clinicians

Practice addresses (Care Compare)

5363 Balboa Blvd
Suite 345
Encino, CA 91316-2835
Phone (818) 728-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42331CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Hematology Oncology Medical Associates Inc CurrentSince Feb 1, 2006 Accepting new patients
Synergy Hematology Oncology Medical Associates, Inc. CurrentSince Feb 1, 2006 Accepting new patients
Medipace Pol Past Accepting new patients

Locations

9001 Wilshire Blvd
Ste 307
Beverly Hills, CA 90211
Phone (310) 275-1724

9736 Venice Blvd
Culver City, CA 90232
Phone (310) 559-6634

5363 Balboa Blvd
Ste 345
Encino, CA 91316
Phone (818) 728-8444

8737 Beverly Blvd
Ste 203
West Hollywood, CA 90048
Phone (310) 659-9958

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1639230550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480107",
            "telephone_number": "323-525-1118",
            "fax_number": "818-303-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD",
            "address_2": "SUITE # 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481828",
            "telephone_number": "323-525-1111",
            "fax_number": "323-525-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "RONALD",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G42331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G423310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.