Organization Active NPI

Richard a Rogachefsky M.D. PA

  • Orthopaedic Hand Surgery Physician
  • Lawndale, CA
National Provider Identifier
1356597959
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G89005 Issued in CA
Legal business name
RICHARD A ROGACHEFSKY M.D. PA
Practice address
15901 Hawthorne Blvd
Suite 250
Lawndale, CA 90260-2655
Phone
(714) 434-8663
Fax
(714) 549-9287
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Dr. Richard A Rogachefsky, M.D.NPI 1316981954
Title
President
Phone
(213) 222-7382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X ME99035 FL
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X ME99035 FL
Orthopaedic Hand Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0106X G89005 CA Primary

Addresses

Primary practice location

15901 Hawthorne Blvd
Suite 250
Lawndale, CA 90260-2655

Mailing address

PO Box 1309
Newport Beach, CA 92659-0109
Phone (714) 434-8663

Other identifiers 2

IdentifierTypeStateIssuer
1356597959OtherCATYPE 2 NPI
G89005OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111102000076 CA Part B Supplier - Clinic/Group Practice 7719150093 Receives reassigned benefits from 2 practitioners
Practice locations: San Pedro, CA
O20200625002440 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7719150093 Practice locations: San Pedro, CA

National Provider Directory

National Provider Directory

Locations

15901 Hawthorne Blvd
Ste 250
Lawndale, CA 90260
Phone (310) 421-0234

23456 Hawthorne Blvd
Torrance, CA 90505
Phone (310) 316-6190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1356597959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590109",
            "telephone_number": "714-434-8663",
            "fax_number": "714-549-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 HAWTHORNE BLVD",
            "address_2": "SUITE 250",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602655",
            "telephone_number": "714-434-8663",
            "fax_number": "714-549-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A ROGACHEFSKY M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "ROGACHEFSKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-222-7382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME99035",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME99035",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G89005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1356597959",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G89005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.