Raymond a. Shofler, M.D. a Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G43420 Issued in CA

Legal business name

RAYMOND A. SHOFLER, M.D. A MEDICAL CORPORATION

Practice address

2601 W Alameda Ave
Suite 314
Burbank, CA 91505-4800

Phone

(818) 842-9125

Fax

(818) 842-9743

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Allen Shofer, M.D.

Title

Owner

Phone

(818) 842-9125

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Raymond Allen Shofler, MD

  • Surgery Physician
  • Burbank, CA
  • NPI 1316021876
  NPD
• Carol A Bova, NP

  • Nurse Practitioner
  • Worcester, MA
  • NPI 1679547285
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750590667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 314",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-842-9125",
            "fax_number": "818-842-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 314",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-842-9125",
            "fax_number": "818-842-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A. SHOFLER, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOFER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-842-9125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G43420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G434200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas Andreas Ravon, DDS, MSD
• Katie Rawlins
• Razan Rayes, PMHNP - BC
• Gisselle Raygoza-Lopez
• Maria Guadalupe Raygoza
• Raymond H.M. Schaerf, M.D., Inc.
• Teresita Raymundo-Laurente
• Luisa Lorein Tancio Raymundo
• Bryan Razo
• Reach Behavioral Medicine Inc.

• Surgery Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.