Individual provider Active NPI

Evan Abram Raff, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1346581923
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A137235 Issued in CA
Practice address
1500 San Pablo St FL 2
Los Angeles, CA 90033
Phone
(323) 442-8541
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A137235 CA Primary

Addresses

Primary practice location

1500 San Pablo St FL 2
Los Angeles, CA 90033

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541

Other practice location 1

100 West California Ave
Pasadena, CA 91105
Phone (626) 397-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001776 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0941500284 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137235CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Shin MRI LLC CurrentSince Mar 1, 2026 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jul 16, 2015 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2018 Accepting new patients
Shin Imaging LLC CurrentSince Mar 1, 2026 Accepting new patients
Shin Imaging LLC CurrentSince Mar 1, 2026 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology Current Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Nov 13, 2025 Accepting new patients
County of Los Angeles CurrentSince Apr 15, 2018 Accepting new patients

Locations

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1346581923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-442-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 West California Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91105",
            "country_code": "US",
            "telephone_number": "626-397-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFF",
        "first_name": "EVAN",
        "middle_name": "ABRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A137235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.