Decio M Rangel MD, a Professional Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A25197 Issued in CA

Legal business name

DECIO M RANGEL MD, A PROFESSIONAL MEDICAL CORPORATION

Practice address

2001 Santa Monica Blvd Ste 470W
Santa Monica, CA 90404-2192

Phone

(310) 828-7454

Fax

(310) 828-6362

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Decio M Rangel, MD

Title

Owner

Phone

(310) 828-7454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1750683306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 470W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042192",
            "telephone_number": "310-828-7454",
            "fax_number": "310-828-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 470W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042192",
            "telephone_number": "310-828-7454",
            "fax_number": "310-828-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIO M RANGEL MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "DECIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-828-7454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A25197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Kay Dearborn, M.A., LMFT
• Tsegaw Ayele Debarcho
• Courtney Linde Decan, MD
• Carly Elizabeth Decerce, RAD-T LEVEL I
• Patricia Lucy Decilla, D.D.S.
• Decio Rangel, M.D., a Professional Medical Corporation
• Dino T Deconcini, MD
• Roxy Harris Decou, MSW
• Melissa Degrati
• Laura Deguzman, ATC

• All providers in Santa Monica, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.