DR. RAYMOND BENJAMIN RAVEN III (NPI# 1932199478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932199478 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND BENJAMIN RAVEN III |
| Credential | MD |
| Practice Address |
2625 W Alameda Ave Ste 116 Burbank CA 91505-4870 |
| Practice Telephone | 8188413936 |
| Practice Fax Number | 8188415974 |
| Mailing Telephone | 8188413936 |
| Mailing Fax Number | 8188415974 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A66365 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
A66365 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A663650 | 05 |
| Street Address |
2625 W ALAMEDA AVE STE 116 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520761 | Shailesh S Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505-4816 | 2005-06-28 |
| 1740622232 | Mark Mikhael Inc | Orthopaedic Surgery | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2013-07-24 |
| 1871838367 | Justin Farrell Cahn | Physician Assistant | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-12-10 |
| 1205171477 | Krystle Fernandez | Licensed Practical Nurse | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-11-29 |
| 1487905808 | Sofise Chen | Dentist | 2625 W Alameda Ave, Suite 216, Burbank, CA 91505-4806 | 2012-09-25 |
| 1922359603 | Sofise Chen, D.d.s. A Professional Dental Corporation | Clinic/Center | 2625 W Alameda Ave, 216, Burbank, CA 91505-4806 | 2012-09-21 |
| 1639457138 | Lakshmidevi V. Putta, Md Inc | Family Medicine | 2625 W Alameda Ave, Suite 424, Burbank, CA 91505-4806 | 2011-08-01 |
| 1679873665 | Robert Stephen Neches | Marriage & Family Therapist | 2625 W Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2010-10-25 |
| 1790002871 | Shant M Karayan | Chiropractor | 2625 W Alameda Ave, Suite 310, Burbank, CA 91505-4806 | 2010-04-28 |
| 1841528957 | Tejas Patel, Md A Medical Corporation | Internal Medicine | 2625 W Alameda Ave, Ste 412, Burbank, CA 91505-4806 | 2009-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316360068 | Primarycare Ortho Inc | Orthopaedic Surgery | 2625 W Alameda Ave Ste 116, Burbank, CA 91505-4815 | 2014-01-31 |
| 1063690592 | Orthopaedic Surgery Specialists Burbank | Orthopaedic Surgery | 2625 W Alameda Ave Ste 116, Burbank, CA 91505-4815 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027050 | Bay Area Surgical Specialists | Orthopaedic Surgery | 2505 Samaritan Dr Ste 208, San Jose, CA 95124-4008 | 2019-01-16 |
| 1316484504 | James Angus Turner | Orthopaedic Surgery | 2190 Washington St, Suite 404, San Francisco, CA 94109-2869 | 2017-01-25 |
| 1477906717 | Phuc Dang, Md Corporation | Orthopaedic Surgery | 1006 Mission Dr Apt A, Suite 200, Costa Mesa, CA 92626-4217 | 2016-07-21 |
| 1528423506 | H. Relton Mccarroll Jr. Md A Medical Corporation | Orthopaedic Surgery | 2351 Clay St Ste 510, San Francisco, CA 94115-1931 | 2015-12-17 |
| 1598174492 | Paul J. Casey, Md Inc | Orthopaedic Surgery | 969 Blue Heron, Seal Beach, CA 90740-5611 | 2014-08-05 |
| 1023428901 | Austin Arlo Pitcher | Orthopaedic Surgery | 3315 Broadway Fl 1, Oakland, CA 94611-5717 | 2014-05-01 |
| 1932547536 | Hassan Jon Azimi | Orthopaedic Surgery | 8008 Frost St Ste 403, San Diego, CA 92123-4209 | 2013-06-06 |
| 1114265949 | Wayne Pan | Orthopaedic Surgery | 1475 Grandview Dr, Ms 354-g, Room 354171, South San Francisco, CA 94080-4901 | 2013-01-29 |
| 1720348162 | Ryu Yoshida | Orthopaedic Surgery | 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 | 2012-05-19 |
| 1285933424 | Anna Marie Acosta | Orthopaedic Surgery | 1760 Termino Ave Ste 308, Long Beach, CA 90804 | 2011-03-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.