Jessica a. Rayhanabad, M.D. Inc

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

JESSICA A. RAYHANABAD, M.D. INC

Doing business as

Center for Advanced Breast Care

Practice address

3791 Katella Ave Ste 201
Los Alamitos, CA 90720-2016

Phone

(562) 206-1312

Fax

(562) 206-1314

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jessica A Rayhanabad, MDNPI 1275719403

Title

President

Phone

(562) 206-1312

Specialties & licenses 2

Addresses

Other names 1

• Center for Advanced Breast Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Jessica A Rayhanabad, M.D.

  • Surgery Physician
  • Los Alamitos, CA
  • NPI 1275719403
  Medicare reassignment Care Compare group Authorized official
• Connie Lee, M.D.

  • Surgery Physician
  • Bakersfield, CA
  • NPI 1457670465
  Medicare reassignment Care Compare group NPD
• Hope Secor, PA

  • Physician Assistant
  • Orange, CA
  • NPI 1033688452
  Medicare reassignment NPD

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1609143775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SEAL BEACH BLVD",
            "address_2": "SUITE B 421",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402792",
            "telephone_number": "562-799-3250",
            "fax_number": "562-799-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE STE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202016",
            "telephone_number": "562-206-1312",
            "fax_number": "562-206-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 Worsham Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081734",
            "country_code": "US",
            "telephone_number": "562-206-1312",
            "fax_number": "562-206-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSICA A. RAYHANABAD, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "RAYHANABAD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-206-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Breast Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Liu MD Inc Apc
• Kirsten Lei Jensen, PPS CRED 150094777
• Mindi L. Jentes, D.C.
• Dennis Carl Jerome, M.D.
• Jesse Chang, M.D. a Professional Corporation
• Tae Hyung Ji, RPH
• Jingjie Xue Inc
• Aileen Etsuko Jitsumyo, DDS
• JJ Family Dental
• JJ Rodriguez M D Inc

• Surgical Oncology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.