Raven Orthopaedic, Inc

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

A66365 Issued in CA

Legal business name

RAVEN ORTHOPAEDIC, INC

Practice address

340 Dardanelli LN
Suite 14a
Los Gatos, CA 95032-1418

Phone

(408) 866-0441

Fax

(408) 866-1926

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Raymond B Raven III, M.D.

Title

President

Phone

(818) 841-3936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1891968509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "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": "340 DARDANELLI LN",
            "address_2": "SUITE 14A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-866-0441",
            "fax_number": "408-866-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN ORTHOPAEDIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "RAVEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-841-3936",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A66365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina Noelle Rapazzini, CNM, WHNP, RN
• John Mark Rashkis, MD
• Travis Adam Ratledge, D.C.
• Raul a. Vernal M.D. Inc.
• Snehal Harshal Raut, MD
• Ravi K. Singh, M.D., Inc.
• Rebekah J Schneider MD
• Stacey Redding, LCSW
• Redwood Phoenix Medical, PC
• Mikayla Reed, PT, DPT

• Orthopaedic Hand Surgery Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Orthopaedic Hand Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.