Active NPI
Jon Christopher Rasak, MD
- Internal Medicine Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G76839
- Practice address
- 8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714 - Phone
- (310) 385-2977
- Fax
- (464) 385-2977
- NPI assigned
- Nov 8, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G76839 | CA | Primary |
Addresses
Primary practice location
8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714
Mailing address
200 Porter Dr
Ste 300
San Ramon, CA 94583-1587
Phone (925) 838-6533
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8767 Wilshire Blvd
FL 3
Beverly Hills, CA 90211-2714
Phone (310) 385-6031
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76839 | CA | MD | Pharmacist |
| G76839 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| San Ramon Primary Care Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| San Ramon Regional Medical Center, LLC | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
8767 Wilshire Blvd
Fl 3
Beverly Hills, CA 90211
Phone (310) 385-6031
8820 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 423-4945
8501 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 248-7000
250 N Robertson Blvd
Ste 518
Beverly Hills, CA 90211
Phone (310) 385-6016
8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000
8767 Wilshire Blvd
#2
Beverly Hills, CA 90211
10100 Culver Blvd
Culver City, CA 90232
Phone (310) 280-2700
4000 Dublin Blvd
Ste 305
Dublin, CA 94568
Phone (925) 556-4460
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
11620 Wilshire Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 423-4800
4676 Admiralty Way
Fl 4
Marina del Rey, CA 90292
Phone (310) 306-6966
200 Porter Dr
Ste 300
San Ramon, CA 94583
Phone (925) 838-6500
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jrasak196978@direct.cshs.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Internal Medicine Physician
- San Ramon, CA
- NPI 1245211382
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1376524371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "STE 300",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587",
"telephone_number": "925-838-6533",
"fax_number": "925-838-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8767 WILSHIRE BLVD FL 2",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112714",
"telephone_number": "310-385-2977",
"fax_number": "464-385-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASAK",
"first_name": "JON",
"middle_name": "CHRISTOPHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G76839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.