Active NPI
California Hand & Upper Extremity Specialists
- Orthopaedic Hand Surgery Physician
- Los Angeles, CA
National Provider Identifier
1871918474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- A66365
- Legal business name
- CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS
- Practice address
- 1245 Wilshire Blvd Ste 611
Los Angeles, CA 90017-4806 - Phone
- (818) 841-3936
- Fax
- (818) 841-5974
- NPI assigned
- Feb 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Benjamin Raven III, M.D.
- Title
- President & Ceo
- Phone
- (818) 841-3936
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A66365 | CA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | A66365 | CA | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A66365 | CA |
Addresses
Primary practice location
1245 Wilshire Blvd Ste 611
Los Angeles, CA 90017-4806
Mailing address
2625 W Alameda Ave Ste 116
Burbank, CA 91505-4815
Phone (818) 841-3936
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1871918474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE STE 116",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054815",
"telephone_number": "818-841-3936",
"fax_number": "818-841-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174806",
"telephone_number": "818-841-3936",
"fax_number": "818-841-5974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA HAND & UPPER EXTREMITY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-19",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "RAVEN",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "818-841-3936",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A66365",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "A66365",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A66365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- California Gen Medical Group, Inc
- California General Surgeons Medical Group Inc
- California General Surgeons Medical Group Inc.
- California Green Cross Clinic
- California Green Cross Clinic
- California Health Med GR
- California Health, Alcohol &. Drug Education Program, Inc.
- California Health, Alcohol &. Drug Education Program, Inc.
- California Hearing Center
- California Heart Center Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.