Rangram Chandran MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A81157 Issued in CA

Legal business name

RANGRAM CHANDRAN MD INC

Practice address

304 Banner CT
Suite 1
Modesto, CA 95356-9194

Phone

(209) 572-2020

Fax

(209) 572-2040

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Rangram Chandran, MDNPI 1194714642

Title

President

Phone

(415) 535-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADVANCED RETINA INSTITUTE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Rangram Chandran, MD

  • Ophthalmology Physician
  • Modesto, CA
  • NPI 1194714642
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417132800000",
    "number": "1730591041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576067",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576067",
            "telephone_number": "415-535-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BANNER CT",
            "address_2": "SUITE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569194",
            "telephone_number": "209-572-2020",
            "fax_number": "209-572-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGRAM CHANDRAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-11-28",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "RANGRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-535-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A81157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA131027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED RETINA INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Rangel
• Serena Rangel
• Stephanie Rangel
• Xochitl Rangel
• Yvette Rangel
• Carlos Aldana Ranin, MD
• Abhishek Ranjan, DDS
• Aruna D Rao, M.D.
• Ashok R Rao, M.D.
• Miranda Rappley

• Ophthalmology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.