Individual provider Active NPI

Amir B Rafizad, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Irvine, CA
National Provider Identifier
1073559241
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A81189 Issued in CA
Practice address
113 Waterworks Way
Suite 345
Irvine, CA 92618-3167
Phone
(949) 872-2400
Fax
(949) 872-2401
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A81189 CA Primary

Addresses

Primary practice location

113 Waterworks Way
Suite 345
Irvine, CA 92618-3167

Mailing address

PO Box 54788
Irvine, CA 92619-4788
Phone (949) 872-2400

Other identifiers 1

IdentifierTypeStateIssuer
A81189OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041104000685 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 3072575786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Providers a Professional Medical CorporationGroup PAC ID 4789646480, 2 clinicians

Practice addresses (Care Compare)

113 Waterworks Way
Suite 345
Irvine, CA 92618-3173
Phone (949) 872-2400

Hospital & facility affiliations

  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
70.88 of 100Reported as group
Quality
25
Improvement activities
40
Cost
72.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Providers a Professional Medical Corporation CurrentSince Sep 20, 2012 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

113 Waterworks Way
Ste 345
Irvine, CA 92618
Phone (714) 546-0149

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1073559241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54788",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926194788",
            "telephone_number": "949-872-2400",
            "fax_number": "949-872-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "address_2": "SUITE 345",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-872-2400",
            "fax_number": "949-872-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIZAD",
        "first_name": "AMIR",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A81189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A81189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.