MEDICARE: RANJIVENDRA NATH DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223E0200X	Endodontics
2	1223G0001X	General Practice Dentistry
3	1223P0300X	Periodontics
4	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
5	122300000X	Dentist

General Provider Information

NPI Number	:	1861859506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RANJIVENDRA NATH DDS INC

Provider Business Mailing Address
First Line	:	1855 E COLORADO BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3554
Country	:	US
Telephone Number	:	626-440-0801
Fax Number	:	626-440-0803

Provider Business Practice Location Address
First Line	:	1855 E COLORADO BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3554
Country	:	US
Telephone Number	:	626-440-0801
Fax Number	:	626-440-0803

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RANJIVENDRA NATH
Credential	:	DDS
Telephone Number	:	626-440-0801

Provider Enumeration Date	:	01/26/2016
Last Update Date	:	01/26/2016

Similar Medicare Providers

1669477931 — DR. RANJIVENDRA NATH DDS
Practice Location Address:

1855 E COLORADO BLVD
PASADENA, CA
91107-3554

Practice Phone: 626-404-0801
Practice Fax: 626-603-2762

1154578904 — RENEWED LIFE TREATMENT CENTER. INC
Practice Location Address:

1855 E COLORADO BLVD , BLDG. B
PASADENA, CA
91107-3554

Practice Phone: 626-793-0519
Practice Fax:

1215380555 — SANDRA MICHELLE NARVAEZ LMFT
Practice Location Address:

2555 E COLORADO BLVD STE 308
PASADENA, CA
91107-6649

Practice Phone: 818-683-2818
Practice Fax: 818-745-8136

1760483838 — PETER HONG RPH.
Practice Location Address:

3601 E FOOTHILL BLVD
PASADENA, CA
91107-3121

Practice Phone: 626-351-6572
Practice Fax: 626-351-0839

1689672370 — MICHELLE ASANTEWA TYSON MD
Practice Location Address:

2661 E WASHINGTON BLVD
PASADENA, CA
91107-1412

Practice Phone: 626-798-4952
Practice Fax: 626-798-5260

1194723874 — KEVIN BERTRAND TYSON MD
Practice Location Address:

2661 E WASHINGTON BLVD
PASADENA, CA
91107-1412

Practice Phone: 626-798-4952
Practice Fax: 626-798-5260

Directions to “RANJIVENDRA NATH DDS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.