Individual provider Active NPI

Paul Raper, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1508824715
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A43318 Issued in CA
Practice address
5925 San Vicente Blvd
Los Angeles, CA 90019-6630
Phone
(323) 932-5301
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A43318 CA Primary

Addresses

Primary practice location

5925 San Vicente Blvd
Los Angeles, CA 90019-6630

Mailing address

PO Box 190
Simi Valley, CA 93062-0190
Phone (805) 522-5940

Other identifiers 1

IdentifierTypeStateIssuer
00A433180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000813 CA Practitioner - Diagnostic Radiology 7517989882 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Advanced Diagnostic Imaging Medical CenterGroup PAC ID 1850336736, 62 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Santa Rosa Imaging Medical CenterGroup PAC ID 2567408859, 20 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians

Practice addresses (Care Compare)

157 E Coolidge Ave
Modesto, CA 95350-4504
Phone (209) 524-6800

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

2201 Walnut Ave
Suite 150
Fremont, CA 94538-2355
Phone (510) 713-1234

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

2320 N California St
Stockton, CA 95204-5506
Phone (209) 466-2000

25800 Bob Hope Dr
Suite 255
Ranco Mirage, CA 92270-1739
Phone (760) 346-6239

3536 Mendocino Ave
Suite 280
Santa Rosa, CA 95403-3634
Phone (707) 579-8226

6191 N Thesta St
Fresno, CA 93710-5266
Phone (559) 447-2600

8540 S Sepulveda Blvd
Suite 101
Los Angeles, CA 90045-3810
Phone (310) 645-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43318CAMDDentist
A43318CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Dec 16, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 18, 2022 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Oct 20, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 16, 2017 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 16, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 1, 2012 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 16, 2017 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 16, 2017 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 18, 2022 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Oct 20, 2018 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients

Locations (25 of 35)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

2301 Bahamas Dr
Bakersfield, CA 93309

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

8540 S Sepulveda Blvd
Ste 101
Los Angeles, CA 90045
Phone (310) 645-9050

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

1918 W Beverly Blvd
Montebello, CA 90640
Phone (323) 838-6800

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1508824715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "805-522-5940",
            "fax_number": "805-522-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196630",
            "telephone_number": "323-932-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPER",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A43318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A433180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.