Active NPI
Rajeev Rao MD Inc a Medical Corporation
- Vascular Surgery Physician
- Los Angeles, CA
National Provider Identifier
1174255772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.