Atheer A Razzouk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A165276 Issued in CA

Practice address

757 Westwood PLZ Ste 7501
Los Angeles, CA 90095-8358

Phone

(310) 825-7375

NPI assigned

Apr 26, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Enlightened Healthcare Alliance Medical CorporationGroup PAC ID 6608115043, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seaport Scripps Home Health Home health agency, San Diego, CA, CCN 057602
• Bridge Home Health Home health agency, San Diego, CA, CCN 059387
• Accentcare Home Health of California, Inc Home health agency, San Diego, CA, CCN 057564

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: arazzouk794868@direct.uclahealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Enlightened Healthcare Alliance Medical Corporation

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1710458245
  Medicare reassignment Care Compare group NPD
• North County Inpatient Medical Alliance, a Medical Group, Inc

  • Hospitalist Physician
  • Encinitas, CA
  • NPI 1932108115
  Medicare reassignment NPD
• Encinitas Palliative Care Associates, Inc.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1093059776
  NPD (past)
• Premier Surgical Partners Inc

  • Urology Physician
  • Vista, CA
  • NPI 1134076060
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abc Home Health Care LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1629207287
  Care Compare affiliation
• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • San Diego, CA
  • NPI 1376583617
  Care Compare affiliation
• Rancho Bernardo Healthcare LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1750906954
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003341116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 7501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-825-7375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 16th St # C2304",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041249",
            "country_code": "US",
            "telephone_number": "310-319-4698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZZOUK",
        "first_name": "ATHEER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A165276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A165276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Razo
• Marisol Razo, RRT
• Sandra Razo
• Sayra Razo
• Arkadi V Razoumovitch, DDS
• Re Active Physical Therapy and Wellness
• Re-Discovering You, a Marriage and Family Therapy Corporation
• Re-Lax Chiropractic, Yang Inc
• Jeffrey Joseph Rea, PSYD
• Alison Dawn Read, RNFA

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.