Rajan Garg MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A30390 Issued in CA

Legal business name

RAJAN GARG MD

Practice address

1701 E McFadden Ave
Suite D
Santa Ana, CA 92705

Phone

(714) 953-6430

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Rajan Garg, MD

Title

Owner

Phone

(714) 953-6430

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Santa Maria Medical Clinic Doing business as

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1750831822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MCFADDEN AVE",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054647",
            "telephone_number": "714-953-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E MCFADDEN AVE",
            "address_2": "SUITE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-953-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAN GARG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-953-6430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A30390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A134588",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenae Raineri, R.N.
• Deborah Rainwater, LMFT, MAC, LAADC
• Raj Menon, MD,Inc
• Tiara Raja
• CHI Rajalingam, PH.D.
• Sahan Rajapaksa
• Rajiv N Desai DDS Inc
• Tala Ramadan
• Saptarishi S Raman, PHARMD
• Jamie Rambo

• General Practice Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.