Decio Rangel, M.D., a Professional Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A25197 Issued in CA

Legal business name

DECIO RANGEL, M.D., A PROFESSIONAL MEDICAL CORPORATION

Practice address

2001 Santa Monica Blvd Ste 470W
Santa Monica, CA 90404-2181

Phone

(310) 828-7454

Fax

(310) 828-6362

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Decio Rangel, M.D.NPI 1659464485

Title

Owner

Phone

(310) 828-7454

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Decio Demoura Rangel, MD

  • Surgical Oncology Physician
  • Santa Monica, CA
  • NPI 1659464485
  NPD (past) Authorized official

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1861892226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 470W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042181",
            "telephone_number": "310-828-7454",
            "fax_number": "310-828-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 470W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042181",
            "telephone_number": "310-828-7454",
            "fax_number": "310-828-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIO RANGEL, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "DECIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-828-7454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A25197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "EA619A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tsegaw Ayele Debarcho
• Courtney Linde Decan, MD
• Carly Elizabeth Decerce, RAD-T LEVEL I
• Patricia Lucy Decilla, D.D.S.
• Decio M Rangel MD, a Professional Medical Corporation
• Dino T Deconcini, MD
• Roxy Harris Decou, MSW
• Melissa Degrati
• Laura Deguzman, ATC
• Brenda Del Castillo

• Specialist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.