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RAJKO SLOBODAN VUCICEVIC
NPI 1225898893
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2024PECOS Enrolled
1200 N STATE ST # GH3900, LOS ANGELES, CA 90089(630) 247-0206 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rajko Slobodan Vucicevic NPPES

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

RAJKO SLOBODAN VUCICEVIC (NPI 1225898893) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225898893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAJKO SLOBODAN VUCICEVIC
Location Address1200 N STATE ST # GH3900Los Angeles, CA 90089-1001
Mailing Address1200 N State St # Gh3900Los Angeles, CA 90089-1001 · (630) 247-0206
Phone(630) 247-0206
Sole ProprietorYes
Enumeration DateMarch 20, 2024
Last NPPES UpdateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1225898893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST # GH3900, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajko Slobodan Vucicevic 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 7

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

RYAN PALMER
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (408) 499-2507
JEREMY SIU
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (213) 923-2689
ELAN AARON KARLIN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7210
SHANA STACY KONG MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7210
KEVIN ALI MOATTARI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7210
BENJAMIN WALTER VAN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (408) 425-5550
FERGUI HERNANDEZ
Student in an Organized Health Care Education/Training Program
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089
Los Angeles County (323) 409-1000

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 Rajko Vucicevic's NPI number?

The NPI number for Rajko Vucicevic is 1225898893. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Rajko Vucicevic located?

Rajko Vucicevic practices at 1200 N State St # Gh3900, Los Angeles, CA 90089. The listed phone number is (630) 247-0206.

What is Rajko Vucicevic's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rajko Vucicevic enrolled in Medicare?

Yes. Rajko Vucicevic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rajko Vucicevic was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.