Active NPI
Alfred Rahban,M.D. a Medical Corp
- Nephrology Physician
- Los Angeles, CA
National Provider Identifier
1992981971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A51095
- Legal business name
- ALFRED RAHBAN,M.D. A MEDICAL CORP
- Practice address
- 5901 W Olympic Blvd
Suite 307
Los Angeles, CA 90036-4667 - Phone
- (323) 939-3669
- Fax
- (323) 798-1786
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred Rahban, MD
- Title
- Ceo
- Phone
- (310) 553-3669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A51095 | CA | Primary |
Addresses
Primary practice location
5901 W Olympic Blvd
Suite 307
Los Angeles, CA 90036-4667
Mailing address
5901 W Olympic Blvd
Suite 307
Los Angeles, CA 90036-4667
Phone (323) 939-3669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992981971 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Los Angeles, CA
- NPI 1003924168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1992981971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD",
"address_2": "SUITE 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364667",
"telephone_number": "323-939-3669",
"fax_number": "323-798-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD",
"address_2": "SUITE 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364667",
"telephone_number": "323-939-3669",
"fax_number": "323-798-1786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFRED RAHBAN,M.D. A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-21",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "RAHBAN",
"authorized_official_first_name": "ALFRED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-553-3669",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A51095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992981971",
"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 Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.