Active NPI
Orthopaedic Surgery Specialists Burbank
- Orthopaedic Surgery Physician
- Glendale, CA
National Provider Identifier
1326503590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
- Practice address
- 1505 Wilson Ter Ste 310
Glendale, CA 91206-4073 - Phone
- (818) 563-6757
- NPI assigned
- Feb 1, 2019
- Organization subpart
- Yes
- Parent organization
- ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Benjamin Raven, MD
- Title
- Authorized Official
- Phone
- (818) 841-3936
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
Addresses
Primary practice location
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
Mailing address
2625 W Alameda Ave Ste 116
Burbank, CA 91505-4815
Phone (818) 841-3936
National Provider Directory
National Provider Directory- Part of
- Orthopaedic Surgery Spec
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548979200000",
"number": "1326503590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE STE 116",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054815",
"telephone_number": "818-841-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WILSON TER STE 310",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064073",
"telephone_number": "818-563-6757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC SURGERY SPECIALISTS BURBANK",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPAEDIC SURGERY SPECIALISTS BURBANK",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A",
"authorized_official_last_name": "RAVEN",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "818-841-3936",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.