Epidaurus Medical

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

EPIDAURUS MEDICAL

Doing business as

Epidaurus Rehab Consultants
Performance Sports and Spine

Practice address

8821 Aviation Blvd Unit 88100
Los Angeles, CA 90009-3496

Phone

(848) 228-0612

NPI assigned

Jul 14, 2022

Organization subpart

Yes

Parent organization

EPIDAURUS MEDICALAs reported in NPPES

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

Authorized official

Name

Dr. Raj Desai, MDNPI 1508258559

Title

Owner

Phone

(424) 301-7090

Specialties & licenses 4

Addresses

Other names 2

• Epidaurus Rehab Consultants Doing business as
• Performance Sports and Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Epidaurus Medical

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raj Desai, MD

  • Interventional Pain Medicine Physician
  • Valencia, CA
  • NPI 1508258559
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas Edward Peterson, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ventura, CA
  • NPI 1689230450
  Medicare reassignment Care Compare group NPD
• Jeannine Kemp, NP

  • Adult Health Nurse Practitioner
  • Camarillo, CA
  • NPI 1417253550
  Medicare reassignment NPD
• Saifuddin Talib, FNP

  • Family Nurse Practitioner
  • Cerritos, CA
  • NPI 1205266947
  Medicare reassignment NPD
• Ricardo Cardenas, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1851696967
  Medicare reassignment
• Laura Oxford, PA-C

  • Physician Assistant
  • McLean, VA
  • NPI 1356184261

  CA

  Medicare reassignment

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1487388500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 AVIATION BLVD UNIT 88100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900093496",
            "telephone_number": "424-301-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 AVIATION BLVD UNIT 88100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900093496",
            "telephone_number": "848-228-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23939 McBean Parkway",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "91355",
            "country_code": "US",
            "telephone_number": "424-401-7090",
            "fax_number": "310-602-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 Lindley Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563701",
            "country_code": "US",
            "telephone_number": "424-301-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 De La Vina St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931053879",
            "country_code": "US",
            "telephone_number": "424-301-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4553 Glencoe Ave",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "90292",
            "country_code": "US",
            "telephone_number": "424-301-7090",
            "fax_number": "310-602-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIDAURUS MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIDAURUS MEDICAL",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-301-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epidaurus Rehab Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Performance Sports and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Epic Homecare Inc.
• Epic Solution and Logistics LLC (Vital-Link Transportation)
• Epicgenetics, Inc.
• Epidaurus (Amity Foundation)
• Epidaurus (Amity Foundation)
• Epiphany House Inc.
• Daishan Monae Epperson
• Alexander Helmut Eppich, DC
• Jade Emery Eppler, RN
• Michael Eppler, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.