Individual provider Active NPI

Anirudh Rai, MD

  • General Practice Physician
  • Valencia, CA
National Provider Identifier
1679136865
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A177237 Issued in CA
Practice address
23845 McBean Pkwy Ste 220
Valencia, CA 91355-2001
Phone
(818) 730-4953
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A177237 CA Primary

Addresses

Primary practice location

23845 McBean Pkwy Ste 220
Valencia, CA 91355-2001

Mailing address

18758 Sylvan St
Tarzana, CA 91335-6866
Phone (818) 730-4953

Other practice location 1

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

Other practice location 2

18758 Sylvan St
Tarzana, CA 91335-6866
Phone (818) 730-4953

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
I20220420002131 CA Practitioner - Family Practice 9931596095 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Soper Family Psychiatry Medical GroupGroup PAC ID 2365850112, 3 clinicians
SCCT Medical Group PCGroup PAC ID 4183978026, 12 clinicians
Henry Mayo Newhall Clinics LLCGroup PAC ID 7911236047, 10 clinicians

Practice addresses (Care Compare)

1836 Central Ave
Suite a
McKinleyville, CA 95519-3667
Phone (707) 445-4705

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone 66120020001122

23929 McBean Pkwy
Suite 110
Valencia, CA 91355-4467
Phone (661) 200-1710

Hospital & facility affiliations

  • New Dimension H C Home health agency, Montrose, CA, CCN 557685
  • Get Well Home Health, Inc Home health agency, Valencia, CA, CCN 059487
  • Assisted Home Care Home health agency, Mission Hills, CA, CCN 557089
  • Guiding Hope Home Health Home health agency, Santa Clarita, CA, CCN 559570
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177237CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCCT Medical Group, PC CurrentSince Apr 11, 2022 Accepting new patients
Henry Mayo Newhall Clinics, LLC CurrentSince Feb 2, 2025 Accepting new patients
Henry Mayo Newhall Urgent Care Clinics, LLC CurrentSince Feb 7, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 20, 2022 Accepting new patients
Soper Family Psychiatry Medical Group CurrentSince Jul 26, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 20, 2022 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

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

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

1836 Central Ave
Ste A
McKinleyville, CA 95519
Phone (707) 445-4705

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

23929 McBean Pkwy
Ste 110
Valencia, CA 91355
Phone (661) 200-1710

23929 McBean Pkwy
Ste 102
Valencia, CA 91355
Phone (661) 200-1122

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

23845 McBean Pkwy
Ste 220
Valencia, CA 91355
Phone (818) 730-4953

25115 Avenue Stanford
Ste 206
Valencia, CA 91355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12549/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 6

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1679136865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18758 SYLVAN ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356866",
            "telephone_number": "818-730-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 MCBEAN PKWY STE 220",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552001",
            "telephone_number": "818-730-4953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-445-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18758 Sylvan St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913356866",
            "country_code": "US",
            "telephone_number": "818-730-4953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI",
        "first_name": "ANIRUDH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A177237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.