Sharo S Raissi MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

A44386 Issued in CA

Legal business name

SHARO S RAISSI MD PC

Practice address

6310 San Vicente Blvd
Ste 220
Los Angeles, CA 90048-5426

Phone

(310) 291-2166

Fax

(800) 756-8714

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sharo S Raissi, M.D.

Title

President

Phone

(310) 291-2166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1780929265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 VIA PACIFICA",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721949",
            "telephone_number": "310-291-2166",
            "fax_number": "714-829-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD",
            "address_2": "STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485426",
            "telephone_number": "310-291-2166",
            "fax_number": "800-756-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARO S RAISSI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "RAISSI",
        "authorized_official_first_name": "SHARO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-291-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Ramaprakash Sharma
• Zayda Rocio Sharma, N.P.
• Cambria Sharman
• Nina Sharmin
• Tania Sharmin
• Sharon Care Center, LLC
• Sharon Lemire Licensed Clinical Social Worker Inc.
• Sharon T. Lu DDS, Inc.
• Sharon Yu Marriage and Family Therapy, a Professional Corporation
• Denise Sharon, PHD

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.