Organization Active NPI

Rajeev Rao MD Inc a Medical Corporation

  • Vascular Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1174255772
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
RAJEEV RAO MD INC A MEDICAL CORPORATION
Practice address
8436 W 3Rd St
Los Angeles, CA 90048-4163
Phone
(310) 274-8228
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Rajeev K Rao, MD
Title
President
Phone
(424) 332-2791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

8436 W 3Rd St
Los Angeles, CA 90048-4163

Mailing address

PO Box 400
Manhattan Beach, CA 90267-0400
Phone (424) 431-4198

Other names 1

  • Rajeev Rao MD Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1174255772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902670400",
            "telephone_number": "424-431-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484163",
            "telephone_number": "310-274-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJEEV RAO MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-332-2791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rajeev Rao MD Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rajeev Rao MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2022; 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.