MR. RAYMOND RUDOLPH RENDON B.C.O. NPI 1710097613

NPI Information

NPI: 1710097613
Provider Name: MR. RAYMOND RUDOLPH RENDON, B.C.O.
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
2039 FOREST AVE STE 206
SAN JOSE, CA
ZIP 95128
Phone: (408) 297-4850
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MR. Raymond Rudolph Rendon, B.C.O. is a prosthetics case management specialist in San Jose, CA. MR. Raymond Rudolph Rendon, B.C.O. NPI is 1710097613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2039 FOREST AVE STE 206
SAN JOSE, CA
ZIP 95128-815
Phone: (408) 297-4850
Fax: (408) 297-0676

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0536440002	MEDICARE NSC	CALIFORNIA
2	DXX00008F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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