Individual provider Active NPI

Jon Christopher Rasak, MD

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1376524371
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G76839 Issued in CA
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

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000866 CA Practitioner - Internal Medicine 5496773376 Reassigns benefits to 1 organization

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76839CAMDPharmacist
G76839CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2014 Accepting new patients
San Ramon Primary Care Medical Group Inc Internal Medicine Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.