Individual provider Active NPI

Raj U Dugel, M.D.

  • Specialist
  • Torrance, CA
National Provider Identifier
1013968312
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
330765473 Issued in CA
Practice address
4825 Torrance Blvd
Suite 100
Torrance, CA 90503-4134
Phone
(310) 937-6585
Fax
(310) 542-3809
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 330765473 CA Primary

Addresses

Primary practice location

4825 Torrance Blvd
Suite 100
Torrance, CA 90503-4134

Mailing address

21213 Hawthorne Blvd
PMB 5472
Torrance, CA 90503-5522
Phone (310) 937-6585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdugel419516@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48690CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rdugel419516@oc.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1013968312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21213 HAWTHORNE BLVD",
            "address_2": "PMB 5472",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035522",
            "telephone_number": "310-937-6585",
            "fax_number": "310-542-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 TORRANCE BLVD",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034134",
            "telephone_number": "310-937-6585",
            "fax_number": "310-542-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGEL",
        "first_name": "RAJ",
        "middle_name": "U",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "330765473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdugel419516@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4825 Torrance Blvd",
            "address_2": "SUITE 100",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905034134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.