Alejandro Rana Custodio, MD, MS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A196911 Issued in CA

Practice address

9375 San Fernando Rd
Sun Valley, CA 91352-1428

Phone

(818) 768-3000

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serra Community Medical Clinic IncGroup PAC ID 6204732928, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Silver Home Health Care, Inc. Home health agency, Sierra Madre, CA, CCN 757264
• Oremos Home Health Care Home health agency, Northridge, CA, CCN 559581

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: araã±acustodio139913@direct.luhs.org

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.

• Serra Community Medical Clinic Inc

  • Adult Medicine Physician
  • Sun Valley, CA
  • NPI 1275545725

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• SFV Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, CA
  • NPI 1487298477

  Internal Medicine

  Medicare reassignment NPD
• Serra Community Medical Clinic, Inc.

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1477134302
  NPD
• SFV Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, CA
  • NPI 1801663695
  NPD
• Loyola University Medical Center

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oremos Home Health Care

  • Home Health Agency
  • Northridge, CA
  • NPI 1952863987
  Care Compare affiliation
• Silver Home Health Care, Inc.

  • Home Health Agency
  • Sierra Madre, CA
  • NPI 1013683796
  Care Compare affiliation

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1861079295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521428",
            "telephone_number": "818-768-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA CUSTODIO",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A196911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queen Hospice Care, Inc.
• Queen of the Valley Home Health, Inc.
• Janet Quezada
• Melissa Radlein, PT, DPT
• Tailer Nicole Ramirez
• Avneet Kaur Randhawa
• Suresh Rao, M.D
• Rapid Trans Inc
• Ravi Raj Singh MD, Inc
• Morgan Rebane, LMFT

• Internal Medicine Physician in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.