Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anmol Rangoola, PA

Individual provider Physician Assistant · NPI 1700320025

Anmol Rangoola, PA is a Physician Assistant in Santa Monica, California. Qualified in 2016, 10 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 829-8317
Fax: (310) 315-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18000 Studebaker Rd Ste 800, Cerritos, CA 90703-2679 — (562) 735-3226
  • 17261 Blue Spruce Ln, Yorba Linda, CA 92886-1865 — (714) 267-6564

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54058 (CA)

Record details

NPI number1700320025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 5, 2016
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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