Rapeport Medical Corporation

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

RAPEPORT MEDICAL CORPORATION

Practice address

9850 Genesee Ave
Ste 940B
La Jolla, CA 92037-1224

Phone

(858) 864-1400

Fax

(619) 668-1554

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Kevin B Rapeport, MDNPI 1952308124

Title

President

Phone

(858) 864-1400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Kevin Bernard Rapeport, MD

  • Interventional Cardiology Physician
  • La Mesa, CA
  • NPI 1952308124
  Medicare reassignment NPD Authorized official
• Mimi Quyen Thai Thuc Le, MD

  • Cardiovascular Disease Physician
  • Riverside, CA
  • NPI 1124070420

  Interventional Cardiology

  NPD (past)
• Dimitri Atanasov Sherev, M.D.

  • Interventional Cardiology Physician
  • El Cajon, CA
  • NPI 1154323996
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1861494601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 940B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-864-1400",
            "fax_number": "619-668-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 940B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-864-1400",
            "fax_number": "619-668-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPEPORT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "RAPEPORT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-864-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077800",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Ramotar, M.A., PSY.D.
• Carol Randolph, PH.D.
• Krishnan Rangarajan, M.D.
• Charlotte Hannah Ranson
• Charmi Patel Rao, MD
• Veronica Rasmusen, MD
• Jelena Ratkovic
• Sahar Naghibi Ravari, D.M.D.
• Marshall I. Ravden, MD
• Lakshmi N Ravindran, M.D.

• Interventional Cardiology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.