Damon B. Raskin MD Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

G0813334 Issued in CA

Legal business name

DAMON B. RASKIN MD INC

Practice address

881 Alma Real Dr Ste 103
Pacific Palisades, CA 90272-3740

Phone

(310) 459-4333

Fax

(310) 230-1953

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Damon Raskin, MDNPI 1528254133

Title

President

Phone

(310) 459-4333

Specialties & licenses 1

Addresses

Tax ID family

Damon B Raskin MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Damon B. Raskin MD Inc

  • Internal Medicine Physician
  • Pacific Palisades, CA
  • NPI 1164483061
  NPD tax ID

Practitioners 1

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

• Damon Bradley Raskin, MD

  • Internal Medicine Physician
  • Pacific Palisades, CA
  • NPI 1528254133
  NPD (past) Authorized official

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1750755294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 103",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723740",
            "telephone_number": "310-459-4333",
            "fax_number": "310-230-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 103",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723740",
            "telephone_number": "310-459-4333",
            "fax_number": "310-230-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON B. RASKIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "RASKIN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-459-4333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G0813334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Chase, M.D.
• Devora Cohen, MD
• Luke S Cohen, DC
• Cypress Physical Therapy Center, Inc.
• Damon B. Raskin MD Inc
• Angela Daneshrad-Farnoosh, PHARM.D.
• Victoria Lin Danhakl, MD
• Daniel Knox Counseling
• David W. Dorfman, MD, DDS, Inc.
• Anne Etoile Davie, M.D.

• Preferred Provider Organization in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.