Active NPI
Rajeev K. Rao, M.D.
- Vascular Surgery Physician
- Los Angeles, CA
National Provider Identifier
1891715041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A79290
- Practice address
- 8631 W 3Rd St
Suite 615E
Los Angeles, CA 90048-5901 - Phone
- (310) 652-8132
- Fax
- (310) 659-3815
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A79290 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
Suite 615E
Los Angeles, CA 90048-5901
Mailing address
8631 W 3Rd St
Suite 615E
Los Angeles, CA 90048-5901
Phone (310) 652-8132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79290 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Transplant Associates | Past | Accepting new patients | |
| Trias Global, LLC | Past | Accepting new patients |
Interoperability endpoints
- rrao101962@direct.cshs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Transplant Surgery Physician
- Los Angeles, CA
- NPI 1417036203
-
- Orthopaedic Surgery of the Spine Physician
- Newport Beach, CA
- NPI 1518433457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1891715041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 615E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-652-8132",
"fax_number": "310-659-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE 615E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-652-8132",
"fax_number": "310-659-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "RAJEEV",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A79290",
"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 Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.