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R. NANDAN, M.D., INC
NPI 1255148490
Non-Pharmacy Dispensing Site in Lakewood, CA

Active since December 11, 2024CLIA 05D0554022 · Certificate of Compliance
3650 SOUTH ST STE 212, LAKEWOOD, CA 90712(562) 272-7630 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About R. Nandan, M.d., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R. NANDAN, M.D., INC (NPI 1255148490) is a healthcare organization registered as a non-pharmacy dispensing site in Lakewood, California and active in the NPI registry since December 2024. The organization holds a CLIA Certificate of Compliance certificate valid through October 14, 2027 and lists Raghu Nandan, President, as its authorized official.

NPPES Registry Identity

NPI1255148490
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameR. NANDAN, M.D., INC
Location Address3650 SOUTH ST STE 212Lakewood, CA 90712-1528
Mailing Address3650 South St Ste 212Lakewood, CA 90712-1528 · (562) 272-7630 · Fax (562) 272-7631
Phone(562) 272-7630
Organization SubpartNo
Authorized OfficialRaghu NandanPresident · (562) 272-7630
Enumeration DateDecember 11, 2024
Last NPPES UpdateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1255148490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
3650 SOUTH ST STE 212, Lakewood, CA 90712
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0554022

R Nandan MD Inc · Lakewood, CA
Active · expires Oct 14, 2027
CLIA Number05D0554022
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorRaghu Nandan
Laboratory Phone(562) 272-7630
Laboratory LocationR Nandan MD Inc3650 East South St, Ste 212, Lakewood, CA 90712
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAJENDRA PRASAD M.D.
Internal Medicine (Medical Oncology)
3650 SOUTH ST STE 212
LAKEWOOD, CA 90712
Los Angeles County (562) 272-7632
ERSIN SELCUK UNAL MD, PHD
Internal Medicine (Hematology & Oncology)
3650 SOUTH ST STE 212
LAKEWOOD, CA 90712
Los Angeles County (562) 272-7630
PROHEALTH PARTNERS A MEDICAL GROUP INC
Internal Medicine
3650 SOUTH ST STE 212
LAKEWOOD, CA 90712
Los Angeles County (562) 299-5200
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
3650 SOUTH ST STE 212
LAKEWOOD, CA 90712
Los Angeles County (562) 272-7630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R. Nandan, M.D., Inc's NPI number?

The NPI number for R. Nandan, M.D., Inc is 1255148490. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is R. Nandan, M.D., Inc located?

R. Nandan, M.D., Inc is located at 3650 South St Ste 212, Lakewood, CA 90712. The listed phone number is (562) 272-7630.

What is R. Nandan, M.D., Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does R. Nandan, M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0554022) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does R. Nandan, M.D., Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 26 other insurers list R. Nandan, M.D., Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for R. Nandan, M.D., Inc was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.