Individual provider Active NPI

Rajendra P Niraula, MD

  • Nephrology Physician
  • Oxnard, CA
National Provider Identifier
1922201003
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A106860 Issued in CA
Practice address
1200 W Gonzales Rd
Suite 300
Oxnard, CA 93036-3072
Phone
(805) 278-9094
Fax
(805) 278-8918
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35089409 OH
Nephrology Physician 207RN0300X A106860 CA Primary
Internal Medicine Physician 207R00000X A106860 CA

Addresses

Primary practice location

1200 W Gonzales Rd
Suite 300
Oxnard, CA 93036-3072

Mailing address

1200 W Gonzales Rd
Suite 300
Oxnard, CA 93036-3072
Phone (805) 278-9094

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ75566ZMedicaidCA
110039977OtherCAMEDICARE RAILROAD
ZZZ34679ZOtherCABLUE CROSS

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
I20091102000158 CA Practitioner - NephrologyPractitioner - Internal Medicine 7214020510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista del Mar Medical Group Inc 7 clinicians
Community Memorial Health System 187 clinicians

Practice addresses (Care Compare)

1200 W Gonzales Rd
Oxnard, CA 93036-3075
Phone 8059830691142

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2701

1601 Raiders Way
Oxnard, CA 93033-5620
Phone (805) 240-3302

242 E Harvard Blvd
Santa Paula, CA 93060-3372
Phone (805) 525-1500

2721 E Main St
Ventura, CA 93003-2803
Phone (805) 667-2841

4567 Telephone Rd
Suite 102
Ventura, CA 93003-5665
Phone (805) 644-6673

825 N 10TH St
Santa Paula, CA 93060-1309
Phone (805) 933-8632

Hospital & facility affiliations

  • FMC Dialysis Services Channel Islands Dialysis facility, Oxnard, CA, CCN 052860
  • Bma Oxnard Dialysis facility, Oxnard, CA, CCN 052762
  • Bma Santa Paula Dialysis facility, Santa Paula, CA, CCN 052829
  • FMC-Dialysis Centers of Ventura County Dialysis facility, Ventura, CA, CCN 052656
  • DaVita College Estates Dialysis Dialysis facility, Oxnard, CA, CCN 752515
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106860CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista del Mar Medical Group, Inc Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Community Memorial Health System CurrentSince Jul 1, 2023 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Jul 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
County of Ventura Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1200 W Gonzales Rd
Ste 300
Oxnard, CA 93036
Phone (805) 278-9094

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

242 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-1500

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • Direct secure messaging: rniraula3518327@oc.providencedirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFGBD
  • Direct secure messaging: rajendra.niraula@vdmmg.eclinicaldirectplus.com

Organizations & group practices 12

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1922201003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W GONZALES RD",
            "address_2": "SUITE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930363072",
            "telephone_number": "805-278-9094",
            "fax_number": "805-278-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GONZALES RD",
            "address_2": "SUITE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930363072",
            "telephone_number": "805-278-9094",
            "fax_number": "805-278-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRAULA",
        "first_name": "RAJENDRA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35089409",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A106860",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75566Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110039977",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ34679Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.