Raafat W. Girgis, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A52207 Issued in CA

Legal business name

RAAFAT W. GIRGIS, M.D., INC.

Practice address

20072 SW Birch St
Suite # 240
Newport Beach, CA 92660-0794

Phone

(714) 316-1163

Fax

(714) 882-7765

NPI assigned

Aug 8, 2010

Last updated

Aug 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raafat W Girgis, M.D.NPI 1225080013

Title

President

Phone

(714) 316-1163

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raafat W Girgis, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1225080013

  Addiction Medicine

  Medicare reassignment NPD Authorized official
• Fady Boules

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, CA
  • NPI 1639541022
  NPD (past)
• Cigdem Coyle, PSY.D.

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1356584098
  NPD (past)

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281225600000",
    "number": "1053626630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE # 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "714-316-1163",
            "fax_number": "714-882-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST",
            "address_2": "SUITE # 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600794",
            "telephone_number": "714-316-1163",
            "fax_number": "714-882-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAAFAT W. GIRGIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-08-08",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-316-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A52207",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "A52207",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A52207",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A52207",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A52207",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "A52207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.