Individual provider Active NPI

Holly Louise Rausch, M.D.

  • Dermatology Physician
  • Westlake Village, CA
National Provider Identifier
1184637605
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A95019 Issued in CA
Practice address
1240 S Westlake Blvd
Suite 205
Westlake Village, CA 91361-1929
Phone
(805) 495-0551
Fax
(805) 496-8079
NPI assigned
Aug 14, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A95019 CA Primary
Dermatopathology Physician 207ND0900X A95019 CA

Addresses

Primary practice location

1240 S Westlake Blvd
Suite 205
Westlake Village, CA 91361-1929

Mailing address

1240 S Westlake Blvd
Suite 205
Westlake Village, CA 91361-1929
Phone (805) 495-0551

Other identifiers 1

IdentifierTypeStateIssuer
1184637605OtherCANPI

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
A95019CAMDDermatopathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1184637605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD",
            "address_2": "SUITE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-495-0551",
            "fax_number": "805-496-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD",
            "address_2": "SUITE 205",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611929",
            "telephone_number": "805-495-0551",
            "fax_number": "805-496-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "HOLLY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A95019",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A95019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184637605",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.