Healthcare Provider Details

I. General information

NPI: 1376367870
Provider Name (Legal Business Name): RAYA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 22ND ST APT 424
SAN FRANCISCO CA
94107-3965
US

IV. Provider business mailing address

1395 22ND ST APT 424
SAN FRANCISCO CA
94107-3965
US

V. Phone/Fax

Practice location:
  • Phone: 832-964-3510
  • Fax:
Mailing address:
  • Phone: 832-964-3510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: ALTAMSHALI S HIRANI
Title or Position: CEO
Credential:
Phone: 832-964-3510