Raymond J. Esparza MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G77594 Issued in CA

Legal business name

RAYMOND J. ESPARZA MD INC.

Practice address

1330 W Covina Blvd
Ste 203
San Dimas, CA 91773-3200

Phone

(909) 394-0044

Fax

(909) 394-6133

NPI assigned

Oct 26, 2006

Last updated

Sep 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond J Esparza, M.D.NPI 1497717391

Title

Ceo

Phone

(909) 394-0044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Esparza, M.D.

  • Internal Medicine Physician
  • San Dimas, CA
  • NPI 1497717391
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1578648523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "address_2": "STE 203",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-394-0044",
            "fax_number": "909-394-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "address_2": "STE 203",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-394-0044",
            "fax_number": "909-394-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND J. ESPARZA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-394-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Rasheed
• Hashmatullah Rasooli, MD
• Brianne Ray
• Katelyn Taylor Ray
• Marlyn Raygoza
• Fiona Rea, OTR/L
• Readirides, Inc.
• Michele Rebozzi
• Skyler Reed
• Allyson Reel

• Internal Medicine Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.