Gordon Sam Raskin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A45357 Issued in CA

Practice address

5842 Robinhood Dr
El Sobrante, CA 94803-3548

Phone

(510) 757-9545

Fax

(510) 758-7533

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1962498220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 ROBINHOOD DR",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033548",
            "telephone_number": "510-757-9545",
            "fax_number": "510-758-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 ROBINHOOD DR",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033548",
            "telephone_number": "510-757-9545",
            "fax_number": "510-758-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKIN",
        "first_name": "GORDON",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodica T. Popovici, DDS
• Linda Posnansky
• Sonam Roleen Prasad
• Leticia Quiroz, MA
• Jessenya Ramirez Sacasa
• Jennifer Maundonna Rastegar, OTR/L
• Siriphone Ratanasith
• Reknown Counseling Inc
• Arvil Reyes, DDS
• Kenneth Dimagmaliw Reyes, DDS

• Family Medicine Physician in El Sobrante, CA
• Providers in El Sobrante, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.