Active NPI
Marina Raikhel M D a Medical Corporation
- Family Medicine Physician
- Lomita, CA
National Provider Identifier
1497739734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A49056
- Legal business name
- MARINA RAIKHEL M D A MEDICAL CORPORATION
- Practice address
- 25043 Narbonne Ave
Lomita, CA 90717-2101 - Phone
- (310) 373-8120
- Fax
- (424) 203-8980
- NPI assigned
- Nov 30, 2005
- 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. Marina Raikhel, MD
- Title
- Director
- Phone
- (310) 373-8120
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A49056 | CA | Primary |
Addresses
Primary practice location
25043 Narbonne Ave
Lomita, CA 90717-2101
Mailing address
25043 Narbonne Ave
Lomita, CA 90717-2101
Phone (310) 373-8120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25043 Narbonne Ave
Lomita, CA 90717
Phone (310) 373-8120
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lomita, CA
- NPI 1073792446
-
- Family Medicine Physician
- Lomita, CA
- NPI 1558345843
-
- Physician Assistant
- Redondo Beach, CA
- NPI 1538109012
-
- Medical Physician Assistant
- Lomita, CA
- NPI 1306358882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262044800000",
"number": "1497739734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25043 NARBONNE AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172101",
"telephone_number": "310-373-8120",
"fax_number": "424-203-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25043 NARBONNE AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172101",
"telephone_number": "310-373-8120",
"fax_number": "424-203-8980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINA RAIKHEL M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2009-12-29",
"status": "A",
"authorized_official_last_name": "RAIKHEL",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-373-8120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A49056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lomita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.