Syrus Rayhan MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A25892 Issued in CA

Legal business name

SYRUS RAYHAN MD INC

Practice address

17822 Beach Blvd Ste 136
Huntington Beach, CA 92647-7178

Phone

(714) 847-1277

Fax

(714) 843-2000

NPI assigned

Apr 22, 2008

Organization subpart

Yes

Parent organization

SYRUS RAYHAN MD INCAs reported in NPPES

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

Authorized official

Name

Dr. Syrus Rayhan, M.D.

Title

Owner

Phone

(714) 847-1277

Specialties & licenses 1

Addresses

Other identifiers 1

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

Part of

Syrus Rayhan MD Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Rayhan, MD

  • Dermatology Physician
  • Huntington Beach, CA
  • NPI 1275857898
  Medicare reassignment NPD

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1588838445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 136",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477178",
            "telephone_number": "714-847-1277",
            "fax_number": "714-843-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 136",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477178",
            "telephone_number": "714-847-1277",
            "fax_number": "714-843-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRUS RAYHAN MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYRUS RAYHAN MD INC",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "RAYHAN",
        "authorized_official_first_name": "SYRUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-847-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A25892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A25892",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.