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DR. JOHN CARL RAISS M.D.
NPI 1467465997
Psychiatry & Neurology - Child & Adolescent Psychiatry in Santa Monica, CA

Active since August 14, 2006Opted out of Medicare · through Jun 2, 2028
2021 SANTA MONICA BLVD, SUITE 750-E, SANTA MONICA, CA 90404(310) 829-4787(310) 829-4057 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. John Carl Raiss M.d. NPPES

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

DR. JOHN CARL RAISS M.D. (NPI 1467465997) is an individual child & adolescent psychiatry provider in Santa Monica, California, licensed in California (C38948) and active in the NPI registry since August 2006. He has opted out of Medicare through June 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467465997
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JOHN CARL RAISSCredential: M.D.
Location Address2021 SANTA MONICA BLVD, SUITE 750-ESanta Monica, CA 90404-2208
Mailing Address2021 Santa Monica Blvd, Suite 750-eSanta Monica, CA 90404-2208 · (310) 829-4787 · Fax (310) 829-4057
Phone(310) 829-4787
Fax(310) 829-4057
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1467465997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · C38948
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License C38948 (CA)
2021 SANTA MONICA BLVD, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Carl Raiss M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 2, 2014 through June 2, 2028.

Opt-Out Effective DateJune 2, 2014
Opt-Out In Effect ThroughJune 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

AVA T SHAMBAN MD
Dermatology
2021 SANTA MONICA BLVD, SUITE 600E
SANTA MONICA, CA 90404
Los Angeles County (310) 828-2282
BELLA DOSHI
Dentist
2021 SANTA MONICA BLVD, SUITE 500E
SANTA MONICA, CA 90404
Los Angeles County (310) 828-3522
CRISTINA SHALLENBERGER N.P.
Nurse Practitioner (Family)
2021 SANTA MONICA BLVD, SUITE 600 EAST
SANTA MONICA, CA 90404
Los Angeles County (310) 828-2282
DR. JOAN KAREN FELTMAN M.D.
Internal Medicine
2021 SANTA MONICA BLVD, SUITE 710
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0131
DR. THOMAS ALAN HANSCOM MD
Ophthalmology
2021 SANTA MONICA BLVD, SUITE # 720E
SANTA MONICA, CA 90404
Los Angeles County (310) 829-3303
KIMBERLY HAGEN TILLAR R.N.
Registered Nurse (Oncology)
2021 SANTA MONICA BLVD, SUIT 400E
SANTA MONICA, CA 90404
Los Angeles County (310) 453-5654
LAURIE REYNARD M.D.
Specialist
2021 SANTA MONICA BLVD, STE 730E
SANTA MONICA, CA 90404
Los Angeles County (310) 453-1266
CAROLINE MARIE COLIN M.D.
Obstetrics & Gynecology
2021 SANTA MONICA BLVD, SUITE 304E
SANTA MONICA, CA 90404
Los Angeles County (310) 829-0080

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 John Raiss's NPI number?

The NPI number for John Raiss is 1467465997. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is John Raiss located?

John Raiss practices at 2021 Santa Monica Blvd Suite 750-E, Santa Monica, CA 90404. The listed phone number is (310) 829-4787.

What is John Raiss's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Raiss enrolled in Medicare?

No. John Raiss has opted out of Medicare through June 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Raiss was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.