Organization Active NPI

Kumar S. Raja, M.D Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Huntington Beach, CA
National Provider Identifier
1538373584
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
A26451 Issued in CA
Legal business name
KUMAR S. RAJA, M.D INC
Practice address
3562 Venture Dr
Huntington Beach, CA 92649-2536
Phone
(714) 875-9466
Fax
(714) 847-6864
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Dr. Kumar Swamy Raja, M.D
Title
President
Phone
(714) 875-9466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X A26451 CA Primary

Addresses

Primary practice location

3562 Venture Dr
Huntington Beach, CA 92649-2536

Mailing address

3562 Venture Dr
Huntington Beach, CA 92649-7101
Phone (714) 875-9466

Other identifiers 1

IdentifierTypeStateIssuer
00A264510MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1538373584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 VENTURE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926497101",
            "telephone_number": "714-875-9466",
            "fax_number": "714-847-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 VENTURE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492536",
            "telephone_number": "714-875-9466",
            "fax_number": "714-847-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR S. RAJA, M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_middle_name": "SWAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-875-9466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A26451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A264510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.