Individual provider Active NPI

Ranjan Sapra, M.D.

  • Medical Oncology Physician
  • Fountain Valley, CA
National Provider Identifier
1851582860
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A35672 Issued in CA
Practice address
11190 Warner Ave
Suite 405
Fountain Valley, CA 92708-4019
Phone
(714) 432-7500
Fax
(714) 432-7520
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X A35672 CA Primary
Hematology & Oncology Physician 207RH0003X A35672 CA

Addresses

Primary practice location

11190 Warner Ave
Suite 405
Fountain Valley, CA 92708-4019

Mailing address

11190 Warner Ave
Suite 405
Fountain Valley, CA 92708-4019
Phone (714) 432-7500

Other identifiers 1

IdentifierTypeStateIssuer
00A356722MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000454 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7719061399 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A35672CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice Aco Inc Multi-Specialty CurrentSince Oct 19, 2021 Accepting new patients
The Oncology Institute Ca, a Professional Corporation Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Starling Oncology Ca, a Professional Corporation Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients

Locations

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11190 Warner Ave
Ste 214
Fountain Valley, CA 92708
Phone (714) 966-8118

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

999 N Tustin Ave
Ste 212
Santa Ana, CA 92705
Phone (714) 542-0102

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ranjan.sapra@rksinc.direct-geniusdoc.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1851582860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 405",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-432-7500",
            "fax_number": "714-432-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 405",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-432-7500",
            "fax_number": "714-432-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPRA",
        "first_name": "RANJAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A35672",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A35672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A356722",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.