Active NPI
Ernest Gary Raines, MD
- Body Imaging Physician
- Los Angeles, CA
National Provider Identifier
1821165838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- G24820
- Practice address
- 4733 W Sunset Blvd
Los Angeles, CA 90027-6021 - Phone
- (323) 783-4011
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | G24820 | CA | Primary |
Addresses
Primary practice location
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Mailing address
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Phone (323) 783-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24820 | CA | MD | Dental Hygienist |
| G24820 | CA | MD | Body Imaging Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1821165838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276021",
"telephone_number": "323-783-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276021",
"telephone_number": "323-783-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "ERNEST",
"middle_name": "GARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "G24820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.