Active NPI
Raymund J. Llaurado, MD, Inc.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Santa Maria, CA
National Provider Identifier
1457539868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- C2511936
- Legal business name
- RAYMUND J. LLAURADO, MD, INC.
- Practice address
- 220 S Palisade Dr
Suite 102
Santa Maria, CA 93454-8902 - Phone
- (805) 922-6641
- Fax
- (805) 922-5927
- NPI assigned
- Feb 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymund J. Llaurado, MD
- Title
- President
- Phone
- (805) 922-6641
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | C2511936 | CA | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | C2511936 | CA |
Addresses
Primary practice location
220 S Palisade Dr
Suite 102
Santa Maria, CA 93454-8902
Mailing address
880 Oak Park Blvd
Suite 102
Arroyo Grande, CA 93420-1821
Phone (805) 489-3235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2511936 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
880 Oak Park Blvd
Ste 102
Arroyo Grande, CA 93420
Phone (805) 489-3235
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Santa Maria, CA
- NPI 1093871725
-
- Audiologist
- Santa Maria, CA
- NPI 1093871204
-
- Audiologist
- Santa Barbara, CA
- NPI 1396961868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1457539868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 OAK PARK BLVD",
"address_2": "SUITE 102",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934201821",
"telephone_number": "805-489-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S PALISADE DR",
"address_2": "SUITE 102",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548902",
"telephone_number": "805-922-6641",
"fax_number": "805-922-5927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMUND J. LLAURADO, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "LLAURADO",
"authorized_official_first_name": "RAYMUND",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-922-6641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "C2511936",
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "C2511936",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C2511936",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.