Active NPI
Mark D. Rayman, MD
- Vascular & Interventional Radiology Physician
- El Segundo, CA
National Provider Identifier
1750458675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- G64513
- Practice address
- 390 N Sepulveda Blvd
Suite 1030
El Segundo, CA 90245-4475 - Phone
- (310) 986-6500
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | G64513 | CA | Primary |
Addresses
Primary practice location
390 N Sepulveda Blvd
Suite 1030
El Segundo, CA 90245-4475
Mailing address
390 N Sepulveda Blvd
1030
El Segundo, CA 90245-4475
Phone (310) 986-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1750458675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 N SEPULVEDA BLVD",
"address_2": "1030",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454475",
"telephone_number": "310-986-6500",
"fax_number": "310-986-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N SEPULVEDA BLVD",
"address_2": "SUITE 1030",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454475",
"telephone_number": "310-986-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMAN",
"first_name": "MARK",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "G64513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.