Individual provider Active NPI

Mladen Anthony Rasic, M.D.

  • Pulmonary Disease Physician
  • Torrance, CA
National Provider Identifier
1659313971
Registry record updated May 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A77464 Issued in CA
Practice address
3330 Lomita Blvd
Torrance, CA 90505-5002
Phone
(310) 214-0811
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A77464 CA Primary

Addresses

Primary practice location

3330 Lomita Blvd
Torrance, CA 90505-5002

Mailing address

146 Calle de Andalucia
Redondo Beach, CA 90277-6701
Phone (310) 378-4258

Other identifiers 1

IdentifierTypeStateIssuer
1659313971MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000308 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 0143233395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of California, San Francisco School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2841 Lomita Blvd
Suite 235
Torrance, CA 90505-5111
Phone (310) 517-8950

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Apr 1, 2017 Accepting new patients
Regents of the University of California Pulmonary Disease CurrentSince Apr 1, 2013 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

File 55737
Los Angeles, CA 90074

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

2841 Lomita Blvd
Ste 200
Torrance, CA 90505
Phone (310) 517-8952

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

2841 Lomita Blvd
Ste 235
Torrance, CA 90505
Phone (310) 517-8950

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

3701 Skypark Dr
Ste 200
Torrance, CA 90505
Phone (310) 378-8900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368230400000",
    "number": "1659313971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CALLE DE ANDALUCIA",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776701",
            "telephone_number": "310-378-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055002",
            "telephone_number": "310-214-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASIC",
        "first_name": "MLADEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A77464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659313971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.