Active NPI
Rendel R Houston MD Inc
- Urology Physician
- Lancaster, CA
National Provider Identifier
1801074034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G14956
- Legal business name
- RENDEL R HOUSTON MD INC
- Practice address
- 44725 10TH St W
#170
Lancaster, CA 93534-3033 - Phone
- (661) 723-7886
- Fax
- (661) 949-7746
- NPI assigned
- Feb 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rendel R Houston, MD
- Title
- Owner
- Phone
- (661) 723-7886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G14956 | CA | Primary |
Addresses
Primary practice location
44725 10TH St W
#170
Lancaster, CA 93534-3033
Mailing address
44725 10TH St W
#170
Lancaster, CA 93534-3033
Phone (661) 723-7886
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342916021 | Other | CA | RAILROAD MEDICARE GROUP NPI |
| DN4035 | Other | CA | RAILROAD MEDICARE GROUP PTAN |
| 00G149560 | Medicaid | CA | |
| W22035 | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1801074034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44725 10TH ST W",
"address_2": "#170",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343033",
"telephone_number": "661-723-7886",
"fax_number": "661-949-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44725 10TH ST W",
"address_2": "#170",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343033",
"telephone_number": "661-723-7886",
"fax_number": "661-949-7746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENDEL R HOUSTON MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-11",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "HOUSTON",
"authorized_official_first_name": "RENDEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-723-7886",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "G14956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NPI",
"identifier": "342916021",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP PTAN",
"identifier": "DN4035",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G149560",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W22035",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.