Jennifer Michelle Rawson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

20399 Issued in CA

Practice address

6664 E Keynote St
Long Beach, CA 90808-2948

Phone

(562) 519-1513

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.rawson.1@30522.direct.athenahealth.com

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.

• HM Medical Inc a Professional Medical Corp

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1093355638
  Medicare reassignment
• HM Medical LLC

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1053730424
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1285967034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6664 E KEYNOTE ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082948",
            "telephone_number": "562-519-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6664 E KEYNOTE ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082948",
            "telephone_number": "562-519-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Raven, MS, MFT
• Barbara Susan Ravid, RD
• Lisa-Louise Rawal, M.S.
• Allison J Rawls
• Cleophus Rawls
• August Ray
• Chona Ray, N.P.
• Jasmin Ray
• Pamela Ray
• Rita Darlene Ray, NP

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• 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.

Verify at the official NPI Registry.