Kevin William Rauchut Jr., NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95006830 Issued in CA

Practice address

5901 W Olympic Blvd Ste 310
Los Angeles, CA 90036-4664

Phone

(323) 215-1725

Fax

(323) 205-3867

NPI assigned

Jun 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Apla Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • West Hollywood, CA
  • NPI 1104688795
  NPD (past)
• Apla Health & Wellness

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1639414139
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1578084547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364664",
            "telephone_number": "323-215-1725",
            "fax_number": "323-205-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364664",
            "telephone_number": "323-215-1725",
            "fax_number": "323-205-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCHUT",
        "first_name": "KEVIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95006830",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95006830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naama Ratzersdorfer
• Pamela Dee Ratzlaff, RRT-NPS
• Cassandra Rau
• Sameeha Rau, MD
• Martin W Rauch, MD
• Hisela Rauda, MS,OTR/L
• Jenny S Rauda
• Walter Raudales
• Siri Rauk
• Raul Lopez, M.D., a Professional Corporation

• Adult Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.