Renato V. Mungcal, M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RENATO V. MUNGCAL, M.D., INC.

Practice address

133 S Vermont Ave
Los Angeles, CA 90004-5904

Phone

(213) 480-0748

NPI assigned

Dec 27, 2018

Last updated

Jul 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renato Mungcal, MDNPI 1750555413

Title

Physician

Phone

(213) 480-0748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renato V Mungcal, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1750555413
  Medicare reassignment NPD Authorized official
• Krystle Marie Mantolino Mungcal, FNP-C

  • Family Nurse Practitioner
  • Santa Clarita, CA
  • NPI 1518593359
  Medicare reassignment NPD

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1720550056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21700 Golden Triangle Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913502926",
            "country_code": "US",
            "telephone_number": "661-287-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENATO V. MUNGCAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "MUNGCAL",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-480-0748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Home Health Services
• Renaissance Radiology Medical Group, Inc.
• Renal Treatment Centers-California, Inc (Los Angeles Dialysis Training Center)
• Renato L. Calugcugan, DMD, Inc.
• Renato V Mungcal, MD-a Medical Corporation (Renato V Mungcal, MD)
• Meghana Renavikar, MD
• Lakeisha Renee Render
• Ashley Renderos
• Karen Renderos
• Krystal Renderos

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

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