Raj Menon, MD,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A38792 Issued in CA

Legal business name

RAJ MENON, MD,INC

Practice address

3620 S Bristol St Ste 102
Santa Ana, CA 92704-7314

Phone

(714) 556-6666

Fax

(714) 556-4548

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Raj Menon, MDNPI 1316014954

Title

Officer

Phone

(714) 556-6666

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Raj Menon, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1316014954
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1497079883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047314",
            "telephone_number": "714-556-6666",
            "fax_number": "714-556-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047314",
            "telephone_number": "714-556-6666",
            "fax_number": "714-556-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ MENON, MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "714-556-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI PROVIDER NUMBER",
            "identifier": "1316014954",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A38792",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulhan Mustafa Raif
• Milan Raimondo, BEHAVIOR TECHNICIAN
• Anisha Raina
• Jenae Raineri, R.N.
• Deborah Rainwater, LMFT, MAC, LAADC
• Tiara Raja
• CHI Rajalingam, PH.D.
• Rajan Garg MD
• Sahan Rajapaksa
• Rajiv N Desai DDS Inc

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.