PRIME HEALTHCARE CA, PC
NPI 1689543852
Surgery in Los Angeles, CA

Active since November 04, 2025
6300 WILSHIRE BLVD STE 980, LOS ANGELES, CA 90048(917) 732-6379 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prime Healthcare Ca, Pc NPPES

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

PRIME HEALTHCARE CA, PC (NPI 1689543852) is a healthcare organization registered as a surgery in Los Angeles, California and active in the NPI registry since November 2025. The organization lists Oren Raphael, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689543852
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePRIME HEALTHCARE CA, PC
Location Address6300 WILSHIRE BLVD STE 980Los Angeles, CA 90048-5202
Mailing Address6300 Wilshire Blvd Ste 980Los Angeles, CA 90048-5202
Organization SubpartNo
Authorized OfficialOren RaphaelCeo · (917) 732-6379
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1689543852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6300 WILSHIRE BLVD STE 980, Los Angeles, CA 90048

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Healthcare Ca, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Prime Healthcare Ca, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner9
Internal Medicine1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1831646744
8700 BEVERLY BLVD
West Hollywood, CA 90048
(310) 423-5252
✔ PECOS✔ Accepts Medicare1.2 mi
Internal Medicine
NPI 1255726485
1301 20TH ST STE 470
Santa Monica, CA 90404
(310) 829-8975
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1245789189
10260 CALVIN AVE
Northridge, CA 91324
(661) 243-3763
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1639715477
10590 TOWN CENTER DR
Rancho Cucamonga, CA 91730
(909) 483-0000
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1902789274
800 S MAIN ST
Corona, CA 92882
(951) 737-4343
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1508569567
2263 FINCH CIR
San Jacinto, CA 92582
(760) 525-5894
✔ PECOS81 mi
Nurse Practitioner
NPI 1619023157
900 MAIN ST
Brawley, CA 92227
(760) 344-6471
✔ PECOS180 mi
Nurse Practitioner
NPI 1952173643
7206 N MILBURN AVE # 106A
Fresno, CA 93722
(559) 840-0066
✔ PECOS210 mi
Nurse Practitioner
NPI 1760698575
19842 LAKE CHABOT RD
Castro Valley, CA 94546
(510) 530-5043
✔ PECOS✔ Accepts Medicare326 mi
Nurse Practitioner
NPI 1831079920
7840 IMPERIAL HWY STE B
Downey, CA 90242
(818) 213-6325
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prime Healthcare Ca, PC's NPI number?

The NPI number for Prime Healthcare Ca, PC is 1689543852. It was assigned to this organization in the NPPES registry on November 4, 2025.

Where is Prime Healthcare Ca, PC located?

Prime Healthcare Ca, PC is located at 6300 Wilshire Blvd Ste 980, Los Angeles, CA 90048. The listed phone number is (917) 732-6379.

What is Prime Healthcare Ca, PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Prime Healthcare Ca, PC enrolled in Medicare?

Yes. Prime Healthcare Ca, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Healthcare Ca, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Prime Healthcare Ca, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Ca, PC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.