Active NPI
Aidan A. Raney Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Newport Beach, CA
National Provider Identifier
1225105653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G27564
- Practice address
- 447 Old Newport Blvd Ste 200
Newport Beach, CA 92663-4257 - Phone
- (949) 650-3350
- Fax
- (949) 650-1274
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G27564 | CA | Primary |
Addresses
Primary practice location
447 Old Newport Blvd Ste 200
Newport Beach, CA 92663-4257
Mailing address
447 Old Newport Blvd Ste 200
Newport Beach, CA 92663-4257
Phone (949) 650-3350
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G275640D06 | Medicaid | CA | |
| 1750339479 | Other | CA | GROUP NPI |
| G27564 | Other | CA | LICENSE |
| GR002729 | Other | CA | MEDI-CAL GROUP NUMBER |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110715000600 | CA | Practitioner - Cardiac Surgery | 0244242121 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225105653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 OLD NEWPORT BLVD STE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634257",
"telephone_number": "949-650-3350",
"fax_number": "949-650-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 OLD NEWPORT BLVD STE 200",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634257",
"telephone_number": "949-650-3350",
"fax_number": "949-650-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANEY",
"first_name": "AIDAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "G27564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G275640D06",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1750339479",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G27564",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL GROUP NUMBER",
"identifier": "GR002729",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.