ANMOL RANGOOLA PA
NPI 1700320025
Physician Assistant in Santa Monica, CA

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-8317(310) 315-6143 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2021, Aug 28, 2020 (2 updates tracked since 2020).

About Anmol Rangoola Pa NPPES

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

ANMOL RANGOOLA PA (NPI 1700320025) is an individual physician assistant in Santa Monica, California, licensed in California (54058) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700320025
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANMOL RANGOOLACredential: PA
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address17261 Blue Spruce LnYorba Linda, CA 92886-1865 · (714) 267-6564
Fax(310) 315-6143
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 5, 2016
Last NPPES UpdateApril 19, 20212 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
NPI 1700320025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 54058
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

Secondary Practice Locations 2

Location 117261 Blue Spruce LnYorba Linda, CA 92886-1865 · Phone (714) 267-6564
Location 218000 Studebaker Rd Ste 800Cerritos, CA 90703-2679 · Phone (562) 735-3226 · Fax (562) 677-2307

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anmol Rangoola Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486926136
PECOS Enrollment IDI20190125003047
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
2121 SANTA MONICA BLVD, EMERGENCY DEPT
SANTA MONICA, CA 90404
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD, DEPT OF NUTRITION & DIABETES EDUCATION
SANTA MONICA, CA 90404
Physician Assistant (Surgical)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Surgery
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Anesthesiology
2121 SANTA MONICA BLVD, C/O ANESTHESIA DEPARTMENT ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404
Dietitian, Registered
2121 SANTA MONICA BLVD, ST. JOHN'S HEALTH CENTER
SANTA MONICA, CA 90404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700320025, enumerated as an "individual" on December 05, 2016.

The provider is located at 2121 SANTA MONICA BLVD SANTA MONICA, CA 90404 and the phone number is (310) 829-8317.

Physician Assistant with taxonomy code 363A00000X.

Anmol Rangoola is affiliated with: PROVIDENCE PORTLAND MEDICAL CENTER.