Organization Active NPI

Robert Naraghi, MD Inc

  • Transplant Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1669749149
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
G83950 Issued in CA
Legal business name
ROBERT NARAGHI, MD INC
Practice address
2200 W 3Rd St
Ste 500
Los Angeles, CA 90057-1932
Phone
(213) 484-5551
Fax
(213) 207-5815
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Robert M Naraghi, MDNPI 1306950043
Title
MD, President
Phone
(213) 484-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204F00000X G83950 CA Primary

Addresses

Primary practice location

2200 W 3Rd St
Ste 500
Los Angeles, CA 90057-1932

Mailing address

15332 Antioch St
#874
Pacific Palisades, CA 90272-3628
Phone (213) 484-5551

Other identifiers 1

IdentifierTypeStateIssuer
G83950OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000518 CA Part B Supplier - Clinic/Group Practice 8325207491 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA; Panorama City, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2200 W 3rd St
Ste 380
Los Angeles, CA 90057
Phone (213) 484-5551

1414 S Grand Ave
Ste 100
Los Angeles, CA 90015
Phone (213) 481-2200

15332 Antioch St
#874
Pacific Plsds, CA 90272

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1669749149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST",
            "address_2": "#874",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723628",
            "telephone_number": "213-484-5551",
            "fax_number": "213-207-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 3RD ST",
            "address_2": "STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571932",
            "telephone_number": "213-484-5551",
            "fax_number": "213-207-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT NARAGHI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "NARAGHI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD, PRESIDENT",
        "authorized_official_telephone_number": "213-484-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "G83950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G83950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.