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Physician Compare National (NPI:1912999400)

HEALTHCARE PROVIDER: MARTIN RAJSBAUM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1912999400
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6901093749
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101207000142
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RAJSBAUM
Individual professional last name
Provider First Name MARTIN
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1960
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name CALIFORNIA RETINA ASSOCIATES, LP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4284676966
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 17
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 835 3RD AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A
Group Practice or individual's line 2 address
City CHULA VISTA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 919111352
Group Practice or individual's zip code (9 digits when available)
Phone Number 6194257755
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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