Active NPI
Samuel Raszka
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1336889732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 444 S. Vicente Blvd
Suite 603
Los Angeles, CA 90048-1804 - Phone
- (310) 423-1282
- NPI assigned
- Apr 1, 2022
- Last updated
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
444 S. Vicente Blvd
Suite 603
Los Angeles, CA 90048-1804
Mailing address
444 S. Vicente Blvd
Suite 603
Los Angeles, CA 90048-1804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- sraszka236818@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1336889732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 S. VICENTE BLVD",
"address_2": "SUITE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S. VICENTE BLVD",
"address_2": "SUITE 603",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASZKA",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.