Organization Active NPI

Raymund J. Llaurado, MD, Inc.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Santa Maria, CA
National Provider Identifier
1457539868
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
C2511936 Issued in CA
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

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Raymund J. Llaurado, MDNPI 1093871725
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)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X C2511936 CA Primary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
C2511936OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000354 CA Part B Supplier - Clinic/Group Practice 7113004938 Receives reassigned benefits from 2 practitioners
Practice locations: Arroyo Grande, CA; Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.