Active NPI
Natasha Raja, M.D.
- Pediatrics Physician
- San Luis Obispo, CA
National Provider Identifier
1235122292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A83454
- Practice address
- 1010 Murray St
San Luis Obispo, CA 93405-8800 - Phone
- (888) 350-2911
- Fax
- (702) 369-5827
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A83454 | CA | Primary |
Addresses
Primary practice location
1010 Murray St
San Luis Obispo, CA 93405-8800
Mailing address
3006 S Maryland Pkwy
505
Las Vegas, NV 89109-2218
Phone (702) 697-0082
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83454 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients |
Locations
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1235122292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 S MARYLAND PKWY",
"address_2": "505",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092218",
"telephone_number": "702-697-0082",
"fax_number": "702-369-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MURRAY ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934058800",
"telephone_number": "888-350-2911",
"fax_number": "702-369-5827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJA",
"first_name": "NATASHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A83454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.