Individual provider Active NPI

Marina Raikhel, MD

  • Family Medicine Physician
  • Lomita, CA
National Provider Identifier
1073792446
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A49056 Issued in CA
Practice address
25043 Narbonne Ave
Lomita, CA 90717-2101
Phone
(310) 373-8120
Fax
(424) 203-8980
NPI assigned
Nov 1, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A49056 CA Primary

Addresses

Primary practice location

25043 Narbonne Ave
Lomita, CA 90717-2101

Mailing address

25043 Narbonne Ave
Lomita, CA 90717-2101
Phone (310) 373-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000989 CA Practitioner - Family Practice 7517015969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25043 Narbonne Ave
Lomita, CA 90717-2101
Phone (310) 373-8120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49056CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marina Raikhel M D a Medical Corporation Family Medicine CurrentSince Mar 23, 2009 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

25043 Narbonne Ave
Lomita, CA 90717
Phone (310) 373-8120

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073792446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25043 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172101",
            "telephone_number": "310-373-8120",
            "fax_number": "424-203-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25043 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172101",
            "telephone_number": "310-373-8120",
            "fax_number": "424-203-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIKHEL",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

Verify at the official NPI Registry.