Individual provider Active NPI

Raafat Iskander, M.D.

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1407958234
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A83604 Issued in CA
Practice address
6200 Wilshire Blvd
Suite 1708
Los Angeles, CA 90048-5801
Phone
(323) 939-0008
Fax
(323) 939-0070
NPI assigned
Sep 2, 2006
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A83604 CA Primary

Addresses

Primary practice location

6200 Wilshire Blvd
Suite 1708
Los Angeles, CA 90048-5801

Mailing address

6200 Wilshire Blvd
Suite 1708
Los Angeles, CA 90048-5801
Phone (323) 939-0008

Other identifiers 5

IdentifierTypeStateIssuer
00A546420OtherCABLUE SHIELD
200159043OtherCABLUE CROSS PROVIDER
W17808MedicaidCA
1407958234MedicaidCA
00A836040MedicaidCA

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
I20040810000622 CA Practitioner - NeurologyPractitioner - Family Practice 3971573742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Family Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9025 Wilshire Blvd
Suite 205
Beverly Hills, CA 90211-1825
Phone (323) 939-0008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83604CAMDMarriage & Family Therapist
A83604CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary Ped Neurog Med Neurological Surgery Current Accepting new patients
Saint Mary Pediatric Neurology Medical Clinic, Inc CurrentSince Oct 1, 2003 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Signature Home Health Care Inc Past Accepting new patients

Locations

9025 Wilshire Blvd
Ste 205
Beverly Hills, CA 90211
Phone (310) 278-0104

6200 Wilshire Blvd
Ste 1708
Los Angeles, CA 90048
Phone (310) 856-9377

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1407958234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1708",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-939-0008",
            "fax_number": "323-939-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1708",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-939-0008",
            "fax_number": "323-939-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDER",
        "first_name": "RAAFAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A83604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A546420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "200159043",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W17808",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407958234",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A836040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.