Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin William Rauchut Jr., NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1578084547

Mr. Kevin William Rauchut Jr., NP-C is a Gerontology Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

5901 W Olympic Blvd Ste 310
Los Angeles, CA 90036-4664
Phone: (323) 215-1725
Fax: (323) 205-3867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95006830 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95006830 (CA)

Record details

NPI number1578084547
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

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