Johnny Ra, RN CNOR RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

771301 Issued in CA

Practice address

11742 Candy LN
Garden Grove, CA 92840-2506

Phone

(714) 206-2104

NPI assigned

Dec 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1659769560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11742 CANDY LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402506",
            "telephone_number": "714-206-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11742 CANDY LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402506",
            "telephone_number": "714-206-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RA",
        "first_name": "JOHNNY",
        "name_prefix": "Mr.",
        "credential": "RN CNOR RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "771301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine Rabalais
• Jacob Alan Radach
• Tanja Radic
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• Mansoor Radparvar, M.D.

• Registered Nurse First Assistant in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.