Raymond Allen Shofler, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G43420 Issued in CA

Practice address

2601 W Alameda Ave
Suite 314
Burbank, CA 91505

Phone

(818) 842-9125

Fax

(818) 842-9743

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Raymond a. Shofler, M.D. a Medical Corporation

  • Surgery Physician
  • Burbank, CA
  • NPI 1750590667
  NPD
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316021876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 314",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-842-9125",
            "fax_number": "818-842-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 314",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-842-9125",
            "fax_number": "818-842-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFLER",
        "first_name": "RAYMOND",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G43420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G434200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shirvani, DDS
• Ciara L Shirvanian, M.D..
• Gayaneh Shirvanian, PA-C
• Diane Shivaie
• Veronika Shmelkova
• Mojgan Shokri, DDS
• Tyler Sholan
• Suhasini Shome, M.S.
• Talia Landau Shorr, M.D.
• Marat Shpolyansky, N.P.

• Surgery Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.