Provider Demographics
NPI:1760603153
Name:FRANK S. RANUSKA, M.D., INC.
Entity Type:Organization
Organization Name:FRANK S. RANUSKA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:RANUSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-378-7644
Mailing Address - Street 1:2000 VAN NESS AVE
Mailing Address - Street 2:SUITE 333
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3023
Mailing Address - Country:US
Mailing Address - Phone:415-409-3611
Mailing Address - Fax:415-409-3612
Practice Address - Street 1:49 GLENAIRE DR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-5279
Practice Address - Country:US
Practice Address - Phone:415-378-7644
Practice Address - Fax:415-457-8618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40501261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA196758900OtherOWCP PROVIDER NUMBER
CAZZZ28084ZMedicare PIN