RAJ PRASAD MD INC
NPI 1962563080
Internal Medicine in Los Angeles, CA

Active since December 12, 2006CLIA 05D0971331 · Waiver
8711 VENICE BLVD, LOS ANGELES, CA 90034(310) 237-0023(310) 237-0026 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2022, Jan 28, 2022 (2 updates tracked since 2022).

About Raj Prasad Md Inc NPPES

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

RAJ PRASAD MD INC (NPI 1962563080) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Rajendra Prasad, Owner, as its authorized official.

NPPES Registry Identity

NPI1962563080
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRAJ PRASAD MD INC
Location Address8711 VENICE BLVDLos Angeles, CA 90034-3216
Mailing Address8711 Venice BlvdLos Angeles, CA 90034-3216 · (310) 237-0023 · Fax (310) 237-0026
Fax(310) 237-0026
Organization SubpartNo
Authorized OfficialRajendra PrasadOwner · (310) 237-0023
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1962563080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A68598
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8711 VENICE BLVD, Los Angeles, CA 90034

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)

Raj Prasad Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Raj Prasad MD Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1427119536
8711 VENICE BLVD
Los Angeles, CA 90034
(310) 237-0023
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1447664636
8711 VENICE BLVD
Los Angeles, CA 90034
(310) 237-0023
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1982087847
8711 VENICE BLVD
Los Angeles, CA 90034
(310) 237-0023
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285145995
14807 CONDON AVE UNIT 105
Lawndale, CA 90260
(310) 985-8772
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1700017712
4023 MARINE AVE
Lawndale, CA 90260
(310) 508-8693
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1770272429
11900 AVALON BLVD STE 100B
Los Angeles, CA 90061
(424) 468-2194
✔ PECOS10 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0971331

Raj Prasad MD Inc · Los Angeles, CA
Active · expires Jun 25, 2028
CLIA Number05D0971331
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorRaj Prasad
Laboratory Phone(310) 237-0023
Laboratory LocationRaj Prasad MD Inc8711 Venice Blvd, Los Angeles, CA 90034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Raj Prasad MD Inc's NPI number?

The NPI number for Raj Prasad MD Inc is 1962563080. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Raj Prasad MD Inc located?

Raj Prasad MD Inc is located at 8711 Venice Blvd, Los Angeles, CA 90034. The listed phone number is (310) 237-0023.

What is Raj Prasad MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raj Prasad MD Inc enrolled in Medicare?

Yes. Raj Prasad MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raj Prasad MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Raj Prasad MD Inc. 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 (3), Internal Medicine (2) and Emergency Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Raj Prasad MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0971331) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raj Prasad MD Inc was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.