Individual provider Active NPI

Raul Jauquin Bendana, M.D.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1285752832
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A040680 Issued in CA
Practice address
1619 And a Half West Pico Blvd
Los Angeles, CA 90015
Phone
(213) 487-0615
Fax
(213) 381-2251
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A040680 CA
General Practice Physician 208D00000X A040680 CA Primary

Addresses

Primary practice location

1619 And a Half West Pico Blvd
Los Angeles, CA 90015

Mailing address

1619 And a Half West Pico Blvd
Los Angeles, CA 90015
Phone (213) 487-0615

Other identifiers 1

IdentifierTypeStateIssuer
00A406800MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000422 CA Practitioner - General PracticePractitioner - Urology 1355538117 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1619 /2 W Pico Blvd
Los Angeles, CA 90015-2409
Phone (213) 487-0615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A040680CAMDUrology Physician
40680CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285752832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 AND A HALF WEST PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-487-0615",
            "fax_number": "213-381-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 AND A HALF WEST PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-487-0615",
            "fax_number": "213-381-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDANA",
        "first_name": "RAUL",
        "middle_name": "JAUQUIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A040680",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A040680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A406800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.