Raj A. Mittal, M.D., A Medical Corporation
NPI 1154879195ActiveOrganization· Surgery· Palos Verdes Estates, CA
Surgery in Palos Verdes Estates, California, registered in NPPES in September 2016. The authorized official on file is Raj A. Mittal, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154879195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2016 |
| Last updated in NPPES | Apr 28, 2020 |
| Certified by provider | Apr 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | A123128 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|