Active NPI
Richard B Rankin, MD
- Diagnostic Radiology Physician
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G54313
- Practice address
- 1121 W Vine Street
Suite 15
Lodi, CA 95240 - Phone
- (209) 334-4416
- Fax
- (209) 371-0119
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G54313 | CA | Primary |
Addresses
Primary practice location
1121 W Vine Street
Suite 15
Lodi, CA 95240
Mailing address
PO Box 15498
Sacramento, CA 95857
Phone (559) 455-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G543130 | Medicaid | CA |
Other names 1
- Brandon R. Rankin III
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.97 of 100
- Quality
- 91.92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54313 | CA | MD | General Practice Dentistry |
| G54313 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Gate Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Golden Gate Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Delta Radiology, Inc. | Current | Accepting new patients | |
| Delta Radiology, Inc. | Current | Accepting new patients |
Locations
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
541 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 224-8940
1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422
1121 W Vine St
Ste 16
Lodi, CA 95240
Phone (209) 263-0200
1121 W Vine St
Ste 15
Lodi, CA 95240
Phone (209) 333-7422
845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
10200 Trinity Pkwy
Ste 204
Stockton, CA 95219
Phone (209) 451-3920
1617 N California St
Ste 1B
Stockton, CA 95204
Phone (209) 948-6063
Organizations & group practices 4
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.
-
- Specialist
- Lodi, CA
- NPI 1740305846
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1073654232
-
- Specialist
- Lodi, CA
- NPI 1881728327
-
- Diagnostic Radiology Physician
- Daly City, CA
- NPI 1427409986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1881603017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15498",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95857",
"telephone_number": "559-455-4000",
"fax_number": "559-455-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 W VINE STREET",
"address_2": "SUITE 15",
"city": "LODI",
"state": "CA",
"postal_code": "95240",
"telephone_number": "209-334-4416",
"fax_number": "209-371-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G54313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G543130",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDON",
"last_name": "RANKIN",
"middle_name": "R.",
"suffix": "III",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.