Active NPI
Raul Montufar Jr., NP
- Family Nurse Practitioner
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22388
- Practice address
- 1000 W Carson St
Urology Box 5
Torrance, CA 90502-2004 - Phone
- (310) 222-2721
- Fax
- (310) 222-2856
- NPI assigned
- Oct 4, 2012
- Last updated
- May 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22388 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St
Urology Box 5
Torrance, CA 90502-2004
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
1811 N Western Ave
Los Angeles, CA 90027-3403
Phone (855) 783-2434
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1811 N Western Ave
Los Angeles, CA 90027-3403
Phone (855) 783-2434
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Past | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
1811 N Western Ave
Los Angeles, CA 90027
Phone (323) 533-5626
2146 W Adams Blvd
Los Angeles, CA 90018
Phone (323) 766-2170
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501
1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026
1000 W Carson St
#5
Torrance, CA 90502
Phone (310) 222-2721
Interoperability endpoints
- raul.montufar.1@26356.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba AHF Pharmacy
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
-
dba Ahf
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba LAC Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1477574838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1518219260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"address_2": "UROLOGY BOX 5",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905022004",
"telephone_number": "310-222-2721",
"fax_number": "310-222-2856"
}
],
"practiceLocations": [
{
"address_1": "1811 N Western Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900273403",
"country_code": "US",
"telephone_number": "855-783-2434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTUFAR",
"first_name": "RAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.