R S Vasan M D a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A33733 Issued in CA

Legal business name

R S VASAN M D A PROFESSIONAL CORPORATION

Practice address

15243 Vanowen St
Suite 210
Van Nuys, CA 91405-3627

Phone

(818) 782-4104

Fax

(818) 782-0231

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Rangachari Srini Vasan, M.D.

Title

President

Phone

(818) 782-4104

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1699086876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-782-4104",
            "fax_number": "818-782-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053627",
            "telephone_number": "818-782-4104",
            "fax_number": "818-782-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R S VASAN M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "VASAN",
        "authorized_official_first_name": "RANGACHARI",
        "authorized_official_middle_name": "SRINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-4104",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A337330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Quintero
• Juan Carlos Quinteros
• Shani Vivian Quiroz
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• R. S. Vasan, MD., Inc
• R. Shamtob, M.D.,Inc.
• R&B Medical Group,Inc
• R&R Home Health, Inc.
• Aidan Rafa

• Specialist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.