Individual provider Active NPI

Raymond Benjamin Raven III, MD

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1932199478
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A66365 Issued in CA
Practice address
8635 W 3Rd St Ste 990W
Los Angeles, CA 90048-6116
Phone
(310) 423-5900
NPI assigned
Oct 26, 2005
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A66365 CA Primary
Orthopaedic Surgery Physician 207X00000X A66365 CA

Addresses

Primary practice location

8635 W 3Rd St Ste 990W
Los Angeles, CA 90048-6116

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

2625 W Alameda Ave
Ste 116
Burbank, CA 91505-4870
Phone (818) 841-3936

Other practice location 2

18370 Burbank Blvd Ste 100
Tarzana, CA 91356-2818
Phone (424) 314-7630

Other identifiers 1

IdentifierTypeStateIssuer
00A663650MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000568 CA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8729059191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 100
Tarzana, CA 91356-2818
Phone (424) 314-7630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
72.95
Promoting interoperability
90
Improvement activities
40
Cost
68.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66365CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 19, 2024 Accepting new patients
Primarycare Ortho Inc Orthopaedic Surgery PastSince Jan 2, 2014 Accepting new patients
Buena Vista Surgery Center, LLC PastSince Oct 1, 2014 Accepting new patients
Buena Vista Surgery Center Medical Group Inc PastSince Sep 1, 2014 Accepting new patients
Medbridge Anesthesia Services, Inc. PastSince Jan 15, 2024 Accepting new patients

Locations

1245 Wilshire Blvd
Ste 611
Los Angeles, CA 90017
Phone (213) 481-2200

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8635 W 3rd St
Ste 990W
Los Angeles, CA 90048
Phone (310) 423-5900

18133 Ventura Blvd
Ste 300
Tarzana, CA 91356
Phone (310) 423-8888

18133 Ventura Blvd
Ste 400
Tarzana, CA 91356
Phone (818) 462-0280

18370 Burbank Blvd
Ste 100
Tarzana, CA 91356
Phone (424) 314-7630

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rraven236478@direct.cshs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1932199478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 990W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486116",
            "telephone_number": "310-423-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 W Alameda Ave",
            "address_2": "Ste 116",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054870",
            "country_code": "US",
            "telephone_number": "818-841-3936",
            "fax_number": "818-841-5974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18370 Burbank Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913562818",
            "country_code": "US",
            "telephone_number": "424-314-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVEN",
        "first_name": "RAYMOND",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A66365",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A66365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A663650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.