Active NPI
Radit Aur, PA-C
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1255748596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51737
- Practice address
- 2315 E Anaheim St
Long Beach, CA 90804-3501 - Phone
- (562) 621-9231
- NPI assigned
- Jul 18, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51737 | CA | Primary |
Addresses
Primary practice location
2315 E Anaheim St
Long Beach, CA 90804-3501
Mailing address
9341 Sepulveda Blvd Apt 12
North Hills, CA 91343-2147
Phone (949) 943-2626
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170215003091 | CA | Order and Referring Only - Physician Assistant | 4284917378 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1255748596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9341 SEPULVEDA BLVD APT 12",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432147",
"telephone_number": "949-943-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043501",
"telephone_number": "562-621-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUR",
"first_name": "RADIT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.