Organization Active NPI

Rayna Piskova MD Inc

  • Ophthalmology Physician
  • Madera, CA
National Provider Identifier
1043424781
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A52376 Issued in CA
Legal business name
RAYNA PISKOVA MD INC
Practice address
509 S I St
Suite C
Madera, CA 93637-4660
Phone
(559) 675-1715
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Rayna Piskova, M.D.NPI 1366472185
Title
Owner
Phone
(661) 869-2600

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X A52376 CA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X A52376 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X A52376 CA

Addresses

Primary practice location

509 S I St
Suite C
Madera, CA 93637-4660

Mailing address

509 S I St
Suite C
Madera, CA 93637-4660
Phone (559) 675-1715

Other identifiers 1

IdentifierTypeStateIssuer
00A523760MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1043424781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S I ST",
            "address_2": "SUITE C",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374660",
            "telephone_number": "559-675-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S I ST",
            "address_2": "SUITE C",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374660",
            "telephone_number": "559-675-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNA PISKOVA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "PISKOVA",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-869-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "A52376",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A52376",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "A52376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A523760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.