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DR. SHARO RAISSI M.D.
NPI 1184608002
Specialist in Los Angeles, CA

Active since December 05, 2005PECOS Enrolled
6310 SAN VICENTE BLVD, STE 220, LOS ANGELES, CA 90048(310) 291-2166(310) 274-0595 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sharo Raissi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHARO RAISSI M.D. (NPI 1184608002) is an individual specialist in Los Angeles, California, licensed in California (A44836) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184608002
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SHARO RAISSICredential: M.D.
Location Address6310 SAN VICENTE BLVD, STE 220Los Angeles, CA 90048-5426
Mailing Address16750 Via PacificaPacific Palisades, CA 90272-1949 · (310) 291-2166 · Fax (310) 274-0595
Phone(310) 291-2166
Fax(310) 274-0595
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateMay 17, 2012
✔ NPI 1184608002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A44836
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6310 SAN VICENTE BLVD, Los Angeles, CA 90048
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Other Identifiers 1

Medicare UPINE02542CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sharo Raissi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC REJUVENATION MEDICAL, A PROFESSIONAL CORP.
Non-Pharmacy Dispensing Site
6310 SAN VICENTE BLVD, SUITE 220
LOS ANGELES, CA 90048
Los Angeles County (818) 518-5980
MICHAEL ADAM DOUGLAS PHD
Psychologist (Clinical)
6310 SAN VICENTE BLVD, SUITE 425
LOS ANGELES, CA 90048
Los Angeles County (310) 405-1948
DR. CHRISTINA L ADBERG MD
Obstetrics & Gynecology (Gynecology)
6310 SAN VICENTE BLVD, SUITE 330
LOS ANGELES, CA 90048
Los Angeles County (323) 452-9655
DR. MOHAMMAD ALI ANSARI M.D.
Internal Medicine (Pulmonary Disease)
6310 SAN VICENTE BLVD, SUITE 280
LOS ANGELES, CA 90048
Los Angeles County (323) 934-9265
MARK H. ROSSDANSON PH.D.
Psychologist
6310 SAN VICENTE BLVD, STE 410
LOS ANGELES, CA 90048
Los Angeles County (323) 932-1677
CYNTHIA RAJCHMAN MFTI
Marriage & Family Therapist
6310 SAN VICENTE BLVD, SUITE 415
LOSA ANGELES, CA 90048
Los Angeles County (213) 536-1314
HORIZON SLEEP MEDICINE SERVICES, INC
Internal Medicine (Pulmonary Disease)
6310 SAN VICENTE BLVD, SUITE 280
LOS ANGELES, CA 90048
Los Angeles County (323) 934-9262
LILY RUSSO APCC
Counselor (Professional)
6310 SAN VICENTE BLVD
LOS ANGELES, CA 90048
Los Angeles County (213) 262-3346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharo Raissi's NPI number?

The NPI number for Sharo Raissi is 1184608002. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Sharo Raissi located?

Sharo Raissi practices at 6310 San Vicente Blvd Ste 220, Los Angeles, CA 90048. The listed phone number is (310) 291-2166.

What is Sharo Raissi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sharo Raissi enrolled in Medicare?

Yes. Sharo Raissi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sharo Raissi was last updated on May 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.