Samuel John N Rajaratnam, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A51207 Issued in CA

Practice address

16152 Beach Blvd Ste 200
Huntington Beach, CA 92647-3869

Phone

(714) 841-6772

Fax

(714) 841-6775

NPI assigned

Jan 25, 2007

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Nayana Shah M.D. Inc.

  • Professional Counselor
  • Huntington Beach, CA
  • NPI 1356427603
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1427103522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23509 RIDGE LINE RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653008",
            "telephone_number": "714-553-4592",
            "fax_number": "714-841-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD STE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473869",
            "telephone_number": "714-841-6772",
            "fax_number": "714-841-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARATNAM",
        "first_name": "SAMUEL JOHN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A51207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAFF#",
            "identifier": "VERD214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahimi Inc (Orange County Pain and Rehabilitation)
• Maryam Rahimi, D.O.
• Megan Nicole Rahman, DO
• Ashlea Rahn
• Mehrnoush Raissi Ardali
• Ralphs Grocery Company (Ralphs Pharmacy)
• Neema Raman, SLPA
• Gizelle Ramani
• Ana Ramirez Valente
• Blue Ramirez

• Child & Adolescent Psychiatry Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.