Active NPI
Raed Al-Naser, M.D., a Medical Corporation
- Pulmonary Disease Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A71932
- Legal business name
- RAED AL-NASER, M.D., A MEDICAL CORPORATION
- Practice address
- 5525 Grossmont Center Dr Ste 609
La Mesa, CA 91942-3009 - Phone
- (619) 589-9158
- Fax
- (619) 462-0371
- NPI assigned
- Aug 2, 2006
- Last updated
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raed Adnan Al-Naser, M,D.
- Title
- President
- Phone
- (888) 664-8297
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A71932 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A71932 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A71932 | CA | Primary |
Addresses
Primary practice location
5525 Grossmont Center Dr Ste 609
La Mesa, CA 91942-3009
Mailing address
PO Box 2535
La Mesa, CA 91943-2535
Phone (888) 664-8297
Other practice location 1
5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 589-9158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5525 Grossmont Center Dr
Ste 609
La Mesa, CA 91942
Phone (619) 466-5700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1043227747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2535",
"city": "LA MESA",
"state": "CA",
"postal_code": "919432535",
"telephone_number": "888-664-8297",
"fax_number": "866-313-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 GROSSMONT CENTER DR STE 609",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423009",
"telephone_number": "619-589-9158",
"fax_number": "619-462-0371"
}
],
"practiceLocations": [
{
"address_1": "5555 Grossmont Center Dr",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919423019",
"country_code": "US",
"telephone_number": "619-589-9158",
"fax_number": "619-462-0371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RAED AL-NASER, M.D., A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "AL-NASER",
"authorized_official_first_name": "RAED",
"authorized_official_middle_name": "ADNAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-664-8297",
"authorized_official_credential": "M,D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A71932",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A71932",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A71932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.