Marvin Arnold Rawitch, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G4184 Issued in CA

Practice address

101 E Valencia Mesa Dr
St Jude Medical Center
Fullerton, CA 92835

Phone

(714) 992-3978

Fax

(714) 992-3928

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marvin a. Rawitch MD Facr Inc.

  • Diagnostic Radiology Physician
  • Laguna Woods, CA
  • NPI 1336203918
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902926629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 D EL TORO RD",
            "address_2": "#69",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373129",
            "telephone_number": "714-402-7074",
            "fax_number": "949-859-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E VALENCIA MESA DR",
            "address_2": "ST JUDE MEDICAL CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92835",
            "telephone_number": "714-992-3978",
            "fax_number": "714-992-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWITCH",
        "first_name": "MARVIN",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G4184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Rasouli
• Lathai Ratanavongsa
• Sophie Renee Ratcliff, RDN
• Ramesh Rathod, M.D.
• Rav Premera Care
• James Otis Ray, COUNSELOR
• Nancy Isabel Ray
• Silvia Rosemarie Ray, M.ED.
• Lydia Damaris Raya
• Kathleen Raymundo

• Diagnostic Radiology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.