Raymond Douglas, M.D., PHD a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RAYMOND DOUGLAS, M.D., PHD A PROFESSIONAL CORPORATION

Practice address

9675 Brighton Way Ste 410
Beverly Hills, CA 90210-5192

Phone

(310) 363-8757

Fax

(310) 363-8758

NPI assigned

Jun 3, 2020

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen M Mullen

Title

Practice Administrator

Phone

(310) 657-4302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Raymond Douglas, M.D., PHD a Professional Corporation

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1538901830

  7416370283

  Same PAC ID

Tax ID family

Raymond Douglas MD PHD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Raymond Douglas, M.D., PHD a Professional Corporation

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1538901830
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond S Douglas, MD, PHD

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1124041959
  Medicare reassignment NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1437773520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105192",
            "telephone_number": "310-363-8757",
            "fax_number": "310-363-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105192",
            "telephone_number": "310-363-8757",
            "fax_number": "310-363-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND DOUGLAS, M.D., PHD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-657-4302"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross R Ravin, MD
• Ravon & Bashawaty Dental Partnership
• Rizza P Ray, PA
• Nadine Recker Rayburn, PH.D.
• Raymond Badillo, M.D., a Medical Corporation
• Mehrdad Razaghy, DDS
• Javad Razani, MD
• Miriam Razi, DDS
• Steven Michael Razo
• Anthony Edward Reading, PHD

• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.