Organization Active NPI

Raed Al-Naser, M.D., a Medical Corporation

  • Pulmonary Disease Physician
  • La Mesa, CA
National Provider Identifier
1043227747
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A71932 Issued in CA
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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.NPI 1770589293
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20061221000345 CA Part B Supplier - Clinic/Group Practice 8123028123 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.