Individual provider Active NPI

Raffi Tchekmedyian

  • Allergy & Immunology (Internal Medicine) Physician
  • Torrance, CA
National Provider Identifier
1659831287
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
A194145 Issued in CA
Practice address
23600 Telo Ave Ste 130
Torrance, CA 90505-4036
Phone
(310) 833-1334
Fax
(310) 833-0270
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A194145 CA Primary

Addresses

Primary practice location

23600 Telo Ave Ste 130
Torrance, CA 90505-4036

Mailing address

23600 Telo Ave Ste 130
Torrance, CA 90505-4036
Phone (310) 833-1334

Other practice location 1

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone (562) 496-4749

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
I20240627002104 CA Practitioner - Allergy/Immunology 9436530193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

23600 Telo Ave
Suite 130
Torrance, CA 90505-4036
Phone (310) 833-1334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194145CAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modena Allergy & Asthma Inc. Allergy & Immunology CurrentSince Jul 2, 2024 Accepting new patients

Locations

9850 Genesee Ave
Ste 710
La Jolla, CA 92037
Phone (858) 260-2977

3816 Woodruff Ave
Ste 209
Long Beach, CA 90808
Phone (562) 496-4749

23600 Telo Ave
Ste 130
Torrance, CA 90505
Phone (310) 833-1334

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: raffit@allergistsandiego.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1659831287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-833-1334",
            "fax_number": "310-833-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-833-1334",
            "fax_number": "310-833-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3816 Woodruff Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908082145",
            "country_code": "US",
            "telephone_number": "562-496-4749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHEKMEDYIAN",
        "first_name": "RAFFI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A194145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.