Raouf a Kayaleh MD Prof Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C41449 Issued in CA

Legal business name

RAOUF A KAYALEH MD PROF MEDICAL CORP

Practice address

1125 E 17TH St
Suite E-109
Santa Ana, CA 92701-2201

Phone

(909) 374-0804

NPI assigned

Apr 15, 2014

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raouf Antoine Kayaleh, M.D.NPI 1942311246

Title

Owner

Phone

(714) 279-0711

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raouf A Kayaleh, MD

  • Pulmonary Disease Physician
  • Santa Ana, CA
  • NPI 1942311246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1770902900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "SUITE E-109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "909-374-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "SUITE E-109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "909-374-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAOUF A KAYALEH MD PROF MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "KAYALEH",
        "authorized_official_first_name": "RAOUF",
        "authorized_official_middle_name": "ANTOINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-279-0711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C41449",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C41449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C414491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenna Nicole Ransdell, LCSW
• James McChesney Ranson, MSW CANDIDATE
• Evan Zachary Ranta
• Maya Rao, MS
• Saarika Rao, LCSW
• Raouf F Iskander MD Inc
• Shaila Raouf
• Rapid Express Care
• Hannah Rosemary Rapp
• Shelby Rascon

• Internal Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.