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

Last updated

Dec 11, 2012By 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

Dr. Sharo S Raissi, M.D.NPI 1184608002

Title

President

Phone

(310) 291-2166

Specialties & licenses 1

Addresses

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.

• Sharo Raissi, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1184608002
  Authorized official Same address or phone

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 Care Center)
• Sharon Lemire Licensed Clinical Social Worker Inc.
• Sharon T. Lu DDS, Inc.
• Sharon Yu Marriage and Family Therapy, a Professional Corporation (Therapy on Fig)
• 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.