Organization Active NPI

Herbert I. Rappaport, M.D., a Professional Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1902934607
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G10471 Issued in CA
Legal business name
HERBERT I. RAPPAPORT, M.D., A PROFESSIONAL CORPORATION
Practice address
158 N Anita Ave
Los Angeles, CA 90049-2720
Phone
(310) 440-0966
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Herbert I Rappaport, M.D.
Title
President
Phone
(310) 657-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X G10471 CA Primary

Addresses

Primary practice location

158 N Anita Ave
Los Angeles, CA 90049-2720

Mailing address

158 N Anita Ave
Los Angeles, CA 90049-2720
Phone (310) 440-0966

Other identifiers 2

IdentifierTypeStateIssuer
00G104710MedicaidCA
00G104711OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1902934607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 N ANITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492720",
            "telephone_number": "310-440-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 N ANITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492720",
            "telephone_number": "310-440-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT I. RAPPAPORT, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-6131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G10471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G104710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G104711",
            "state": "CA"
        }
    ],
    "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 Jun 11, 2012; 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.