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

Dr. Rungwasee Rattanavich

Individual provider Internal Medicine Physician · NPI 1316292931

Dr. Rungwasee Rattanavich is a Nephrology in Loma Linda, California. Qualified in 2008, 18 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

25865 Barton Rd Ste 101
Loma Linda, CA 92354-3896
Phone: (909) 558-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A157364 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A157364 (CA)

Record details

NPI number1316292931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESJanuary 14, 2019

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Loma Linda