Individual provider Active NPI

Raffi V Hovsepian, MD

  • General Acute Care Hospital
  • Newport Beach, CA
National Provider Identifier
1154502144
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A96283 Issued in CA
Practice address
1401 Avocado Ave Ste 810
Newport Beach, CA 92660-8708
Phone
(949) 760-5047
Fax
(949) 760-0978
NPI assigned
Nov 18, 2007
Last updated
May 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A96283 CA Primary
Plastic Surgery Physician 208200000X A96283 CA
Plastic and Reconstructive Surgery Physician 2086S0122X A96283 CA

Addresses

Primary practice location

1401 Avocado Ave Ste 810
Newport Beach, CA 92660-8708

Mailing address

1401 Avocado Ave Ste 810
Newport Beach, CA 92660-8708
Phone (949) 760-5047

Other identifiers 1

IdentifierTypeStateIssuer
A96283OtherCASTATE LICENSE

Other names 1

  • Dr. Rafi V Hovsepian Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96283CAMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1154502144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 810",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608708",
            "telephone_number": "949-760-5047",
            "fax_number": "949-760-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 810",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608708",
            "telephone_number": "949-760-5047",
            "fax_number": "949-760-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVSEPIAN",
        "first_name": "RAFFI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-18",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A96283",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A96283",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A96283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A96283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFI",
            "last_name": "HOVSEPIAN",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.