Organization Active NPI

Rafael Reisfeld M.D. a Professional Corporation

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1063787232
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A32774 Issued in CA
Legal business name
RAFAEL REISFELD M.D. A PROFESSIONAL CORPORATION
Practice address
1125 S Beverly Dr
Sutie 500
Los Angeles, CA 90035-1148
Phone
(310) 557-3037
Fax
(310) 557-3554
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Rafael Reisfeld, M.D.
Title
General Surgeon
Phone
(310) 557-3037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A32774 CA Primary

Addresses

Primary practice location

1125 S Beverly Dr
Sutie 500
Los Angeles, CA 90035-1148

Mailing address

1125 S Beverly Dr
Sutie 500
Los Angeles, CA 90035-1148
Phone (310) 557-3037

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1063787232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUTIE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-557-3037",
            "fax_number": "310-557-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUTIE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-557-3037",
            "fax_number": "310-557-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL REISFELD M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "REISFELD",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "310-557-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A32774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.