1831289115 NPI number — VIPULKUMAR BHUPEN RANA M.D.

Table of content: DR. JEFFREY WILLIAM HARTWIG D.O. (NPI 1124281019)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831289115 NPI number — VIPULKUMAR BHUPEN RANA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RANA
Provider First Name:
VIPULKUMAR
Provider Middle Name:
BHUPEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831289115
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3333 ASHBOURNE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN RAMON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94583-9113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
975 SERENO DR
Provider Second Line Business Practice Location Address:
HBS DEPARTMENT
Provider Business Practice Location Address City Name:
SAN RAMON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94583
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-651-2440
Provider Business Practice Location Address Fax Number:
414-805-0988
Provider Enumeration Date:
10/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  50521 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: C146438 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 34992800 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 117973601 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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