Organization Active NPI

Rogelio Rabanera MD Inc

  • Gastroenterology Physician
  • Bellflower, CA
National Provider Identifier
1942370531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A25752 Issued in CA
Legal business name
ROGELIO RABANERA MD INC
Practice address
10230 E Artesia Blvd
#104
Bellflower, CA 90706
Phone
(562) 867-2796
Fax
(562) 867-0378
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rogelio Ramos Rabanera, MD
Title
President Physician
Phone
(562) 867-2796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A25752 CA Primary

Addresses

Primary practice location

10230 E Artesia Blvd
#104
Bellflower, CA 90706

Mailing address

10230 E Artesia Blvd
#104
Bellflower, CA 90706
Phone (562) 867-2796

Other identifiers 2

IdentifierTypeStateIssuer
00A257520MedicaidCA
1144217589OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

10230 Artesia Blvd
Ste 104
Bellflower, CA 90706
Phone (562) 356-9692

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942370531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 E ARTESIA BLVD",
            "address_2": "#104",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-867-2796",
            "fax_number": "562-867-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 E ARTESIA BLVD",
            "address_2": "#104",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-867-2796",
            "fax_number": "562-867-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGELIO RABANERA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABANERA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "562-867-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A25752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A257520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1144217589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.