Raymond K Sheline MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G45012 Issued in CA

Legal business name

RAYMOND K SHELINE MD INC

Practice address

4150 Regents Park Row Ste 260
La Jolla, CA 92037-1417

Phone

(858) 550-9697

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Sheline, M.D.

Title

President

Phone

(800) 883-7243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1952496085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 260",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-550-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND K SHELINE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "SHELINE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-883-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G45012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G450120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelena Ratkovic
• Sahar Naghibi Ravari, D.M.D.
• Marshall I. Ravden, MD
• Lakshmi N Ravindran, M.D.
• John M Ravits, MD
• Cedar Raymond
• Hazel Isabella Raymond
• Kathaleen R Reagan, LPCC
• Ann C Rearden, M.D.
• Reavivo Marriage and Family Therapy Inc

• Anesthesiology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.