NPIMap

Individual provider Active NPI

Rajendra Prasad, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1427119536
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68598 Issued in CA
Practice address
8711 Venice Blvd
Los Angeles, CA 90034-3216
Phone
(310) 237-0023
Fax
(310) 237-0026
NPI assigned
Dec 12, 2006
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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 A68598 CA Primary

Addresses

Primary practice location

8711 Venice Blvd
Los Angeles, CA 90034-3216

Mailing address

8711 Venice Blvd
Los Angeles, CA 90034-3216
Phone (310) 237-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040131000056 CA Practitioner - Internal Medicine 8426968264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raj Prasad MD, Inc.Group PAC ID 7810067378, 3 clinicians

Practice addresses (Care Compare)

8711 Venice Blvd
Los Angeles, CA 90034-3216
Phone (310) 237-0023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.72 of 100Reported as group
Quality
100
Improvement activities
40
Cost
45.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68598CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Health Plus Medical Group Internal Medicine Current Accepting new patients
Raj Prasad MD Inc Internal Medicine CurrentSince Dec 8, 2003 Accepting new patients
CHLB, LLC Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

9808 Venice Blvd
Ste 707
Culver City, CA 90232
Phone (310) 237-0023

8711 Venice Blvd
Los Angeles, CA 90034
Phone (310) 237-0023

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cheviot Hills Post AcuteLos Angeles, CA, CCN 056451 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024
Marina Pointe Healthcare & SubacuteCulver City, CA, CCN 555340 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2019
Jun 1, 2019
California Post-Acute CareLynwood, CA, CCN 055052 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1427119536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343216",
            "telephone_number": "310-237-0023",
            "fax_number": "310-237-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343216",
            "telephone_number": "310-237-0023",
            "fax_number": "310-237-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "RAJENDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.