Prime Healthcare Ca, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PRIME HEALTHCARE CA, PC

Practice address

6300 Wilshire Blvd Ste 980
Los Angeles, CA 90048-5202

Phone

(917) 732-6379

NPI assigned

Nov 4, 2025

Organization subpart

No

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

Authorized official

Name

Oren RaphaelNPI 1255726485

Title

Ceo

Phone

(917) 732-6379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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

• Jana Lipson Cohen, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • West Hollywood, CA
  • NPI 1831646744
  Medicare reassignment Care Compare group NPD
• Oren Simantov Raphael, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Santa Monica, CA
  • NPI 1255726485
  Medicare reassignment NPD Authorized official
• Tamiko Gaylin Smith, APRN

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1902789274
  Medicare reassignment Care Compare group NPD
• Melissa Mustafa, NP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1639715477
  Medicare reassignment
• Solange Pierre-Michel, N.P.

  • Family Nurse Practitioner
  • Brawley, CA
  • NPI 1619023157
  Medicare reassignment
• Tamara Sue Pippin, FNP

  • Family Nurse Practitioner
  • San Jacinto, CA
  • NPI 1508569567
  Medicare reassignment
• Joann Strang, FNP

  • Family Nurse Practitioner
  • Castro Valley, CA
  • NPI 1760698575
  Medicare reassignment

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1689543852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD STE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD STE 980",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485202",
            "telephone_number": "917-732-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE CA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "OREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-732-6379"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime 5 Medical Group Inc
• Prime Acupuncture Clinic
• Prime Acupuncture Clinic Inc
• Prime Choice Home Medical Supplies Inc
• Prime Diagnostic Laboratory
• Prime Orthotics & Prosthetics
• Prime Pharmacy Services Inc
• Prime Psychological Services Inc
• Prime Star Home Care, LLC
• Prime Star Home Health, Inc.

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.