DR. RAISA J OSIPOV


Address: 5205 Melrose Ave, Los Angeles, CA 90038-3144
Phone: 3108741807

DR. RAISA J OSIPOV (NPI# 1902814973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902814973
Entity Type Individual
Full Name DR. RAISA J OSIPOV
Credential M.D.
Practice Address 5205 Melrose Ave
Los Angeles
CA 90038-3144
Mailing Address 29600 Island View Dr
109
Rancho Palos Verdes
CA 90275-4650
Practice Telephone 3108741807
Mailing Telephone 3105418676
Mailing Fax Number 3105418676
Enumeration Date 2006-08-04
Last Update Date 2016-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine A69109 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA PECOS PAC ID 539563835 01
CA 5665534 05
CA PECOS ENROLLMENTID 120140809000112 01

Office Location

Street Address 5205 MELROSE AVE
City LOS ANGELES
State CA
Zip Code 90038-3144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811921323 David Luna Family Medicine 5205 Melrose Ave, Los Angeles, CA 90038-3144 2006-07-10
1225664089 Pediatric and Family Medical Center Clinic/Center 5205 Melrose Ave, Los Angeles, CA 90038-3144 2020-03-12
1063980928 Manisha Ati Nurse Practitioner 5205 Melrose Ave, Los Angeles, CA 90038-3144 2018-11-08
1275016156 Angelica Galvan Jimenez Registered Nurse 5205 Melrose Ave, Los Angeles, CA 90038-3144 2018-09-07
1609395649 Jennifer Mai-uyen Nguyen Nurse Practitioner 5205 Melrose Ave, Los Angeles, CA 90038-3144 2017-09-11
1801313515 Jennifer Mary Matthes Social Worker 5205 Melrose Ave, Los Angeles, CA 90038-3144 2017-08-23
1528515301 Belinda Yoo Nurse Practitioner 5205 Melrose Ave, Los Angeles, CA 90038-3144 2016-09-08
1558740852 The Los Angeles Free Clinic Pharmacy 5205 Melrose Ave, Los Angeles, CA 90038-3144 2015-05-20
1720490790 Hei-wah Wong Family Medicine 5205 Melrose Ave, Los Angeles, CA 90038-3144 2014-05-27
1184047300 Saban Community Clinic Clinic/Center 5205 Melrose Ave, Los Angeles, CA 90038-3144 2014-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114568698 Kaiser Foundation Health Plan Inc Pharmacy 7007 Romaine St, Los Angeles, CA 90038 2019-10-04
1134685613 National Vision Inc Technician/Technologist 5818 Santa Monica Boulevard, Los Angeles, CA 90038 2019-02-20
1023530482 Christopher Michael Colon Case Manager/Care Coordinator 1224 N Vine Street, Los Angeles, CA 90038 2017-07-07
1841736477 Randall Smith Counselor 7000 Romaine, 207-208, La, CA 90038 2017-01-06
1780050278 Craig V. Smith, M.d., A Professional Medical Corporation Internal Medicine 6711 Melrose Ave., Los Angeles, CA 90038 2015-08-19
1033585534 M2 Recovery, Inc. Clinic/Center 6715 Melrose Ave., Los Angeles, CA 90038 2015-08-19
1457760522 Lital Shvarts Psychologist 6311 Romaine St Ste 7329, Los Angeles, CA 90038 2014-08-04
1144658071 Aaron Niemi Acupuncturist 1011 North Cole Ave, Los Angeles, CA 90038 2013-11-01
1013351139 Suren Vardanyan Non-emergency Medical Transport (VAN) 1208 N Gower St, #201, Los Angeles, CA 90038 2013-04-19
1093912966 Tina Robinson Registered Nurse 1224 Vine St., Los Angeles, CA 90038 2007-07-02
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568063923 Claude Kathy Marquis Family Medicine 400 S June St, Los Angeles, CA 90020-4812 2020-11-03
1376159939 Margarette Morney-kuanyawo Family Medicine 515 S Fuller Ave, Los Angeles, CA 90036-3244 2020-09-18
1780207803 Julia Solis Family Medicine 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 2020-05-22
1033739578 Now Medical Family Medicine 1333 S Hill St, Los Angeles, CA 90015-3012 2020-04-24
1710514930 Los Angeles Medical Center Foundation Family Medicine 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 2020-03-26
1740817212 Quality Medical Group Inc Family Medicine 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 2020-03-25
1760012108 Majid Sabour Md. PC. Family Medicine 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 2020-01-24
1164061461 Sequoia Quality Health Inc Family Medicine 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 2020-01-03
1437792447 Northeast Community Clinic Family Medicine 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 2019-10-22
1386298867 Prompt Healthcare, Inc., A Medical Corporation Family Medicine 1972 West 48th Street, #a, Los Angeles, CA 90062 2019-08-01
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Competitor

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City LOS ANGELES
Zip Code 90038

Improve Information

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Dataset Information

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.

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