Raimy Boban, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A123770 Issued in CA

Practice address

1555 Soquel Dr
Department of Anesthesia
Santa Cruz, CA 95065-1705

Phone

(408) 372-7589

NPI assigned

Mar 29, 2011

Last updated

Aug 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Camino AnesthesiaGroup PAC ID 7517360639, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Camino Health Hospital, Mountain View, CA, CCN 050308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• El Camino Anesthesia

  • Anesthesiology Physician
  • Los Gatos, CA
  • NPI 1356910053
  Medicare reassignment Care Compare group NPD
• Anesthesia Medical Group of Santa Cruz, Inc.

  • Anesthesiology Physician
  • Santa Cruz, CA
  • NPI 1871541144
  Medicare reassignment NPD

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

• El Camino Hospital

  dba El Camino Health

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1093712374
  Care Compare affiliation
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340
  Care Compare affiliation
• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1457594087
  Care Compare affiliation

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1114216298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "408-372-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "408-372-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBAN",
        "first_name": "RAIMY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A123770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieanna Blotz
• Vega Bluem
• Daniel L. Blumberg, M.D.
• Sonia Marie Blumberg, B.A., M.S.
• Marcus Boardman
• Nick Bobeda
• Stephanie M Bodisco
• Nicholas Bodsky
• Jordan Michael Boerner, DTCM, LAC
• Oksana Bogatko

• Anesthesiology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.