RADHA MENON (NPI# 1033104724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033104724 |
| Entity Type | Individual |
| Full Name | RADHA MENON |
| Credential | M.D. |
| Practice Address |
18056 Wika Rd Ste C Apple Valley CA 92307-2194 |
| Mailing Address |
18056 Wika Rd Ste C Apple Valley CA 92307-2125 |
| Practice Telephone | 7602423040 |
| Practice Fax Number | 7602425495 |
| Mailing Telephone | 7602423040 |
| Mailing Fax Number | 7602425495 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2012-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A41126 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
A41126 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A411260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427218122 | Radha Vankawala Menon | Internal Medicine | 1031 Care Way, Fredericksburg, VA 22401-8425 | 2008-06-16 |
| Street Address |
18056 WIKA RD STE C |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92307-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295942183 | Steven E Kratofil Dds | Dentist | 18056 Wika Rd Ste C, Apple Valley, CA 92307-2125 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106025 | Rajender S. Thakran, M.d., Inc | Specialist | 16030 Kamana Rd, Apple Valley, CA 92307 | 2020-02-13 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1184120784 | Frantz Jean-louis | Nurse Practitioner | 16134 Muni Rd, Apple Valley, CA 92307 | 2018-04-03 |
| 1053862078 | Ashley M Morello | Registered Nurse | Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 | 2016-10-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1396147419 | Aaa Family Medical Group | Family Medicine | 15995 Tuscola Rd Ste 202, Apple Valley, CA 92307 | 2014-09-19 |
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1639508526 | Meagan Katherine Blades | Physician Assistant | 18300 Outer Hwy 18, Apple Valley, CA 92307 | 2013-11-01 |
| 1720341555 | Jonathan Robert Cox | Dermatology | 18523 Corwin Rd Ste G, Apple Valley, CA 92307 | 2012-06-18 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| Find all providers in zip 92307 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275563967 | Wahid Midou | Internal Medicine | 12368 Winesap Rd, Apple Valley, CA 92308 | 2006-07-05 |
| 1467475806 | Aspen Medical Clinic Inc. | Internal Medicine | 12368 Winesap Rd, Apple Valley, CA 92308-5143 | 2006-07-26 |
| 1790714608 | Jay C Broton | Internal Medicine | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
| 1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 92307 |
Please comment or provide details below to improve the information on RADHA MENON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.