Organization Active NPI

R M G Apc

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1851620959
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A061926 Issued in CA
Legal business name
R M G APC
Practice address
444 W Ocean Blvd Ste 1501
Long Beach, CA 90802-4616
Phone
(562) 754-1110
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Dr. Randa M Garrana, MDNPI 1295896421
Title
Ceo
Phone
(562) 754-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A061926 CA Primary

Addresses

Primary practice location

444 W Ocean Blvd Ste 1501
Long Beach, CA 90802-4616

Mailing address

5471 E the Toledo
Long Beach, CA 90803-3953
Phone (562) 754-1110

Other practice location 1

125 N Raymond Ave
Pasadena, CA 91103-4534
Phone (310) 853-6731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100105000130 CA Part B Supplier - Clinic/Group Practice 1658412259 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA
O20201222000647 NY Part B Supplier - Clinic/Group Practice 1658412259 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1851620959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 E THE TOLEDO",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033953",
            "telephone_number": "562-754-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OCEAN BLVD STE 1501",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024616",
            "telephone_number": "562-754-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 N Raymond Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911034534",
            "country_code": "US",
            "telephone_number": "310-853-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R M G APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "GARRANA",
        "authorized_official_first_name": "RANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-754-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A061926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.