Active NPI
Brian Raffetto
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 132697
- Practice address
- 1200 N State St RM A7D
Los Angeles, CA 90033-1029 - Phone
- (323) 226-6667
- NPI assigned
- Oct 7, 2014
- Last updated
- Oct 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 132697 | CA | Primary |
Addresses
Primary practice location
1200 N State St RM A7D
Los Angeles, CA 90033-1029
Mailing address
1200 N State St RM A7D
Los Angeles, CA 90033-1029
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, Geffen School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5051
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 78.57
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132697 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacifica Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Ojai Emergency Physicians Corporation | Emergency Medicine | Current | Accepting new patients |
| Ventura Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
Locations
1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260
16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Ventura, CA
- NPI 1518298686
-
- Emergency Medicine Physician
- Ojai, CA
- NPI 1497152755
-
- Emergency Medicine Physician
- Encino, CA
- NPI 1053350975
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
dba Community Memorial Health Center
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1295138022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST RM A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST RM A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFETTO",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "132697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.