Wasim H Raja MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WASIM H RAJA MD

Practice address

11100 Warner Ave Ste 110
Fountain Valley, CA 92708-7500

Phone

(714) 486-3477

Fax

(833) 334-0495

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Wasim H Raja, MDNPI 1205022084

Title

MD

Phone

(916) 934-4002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wasim H. Raja, M.D.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1205022084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1083257968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087500",
            "telephone_number": "714-486-3477",
            "fax_number": "833-334-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087500",
            "telephone_number": "714-486-3477",
            "fax_number": "833-334-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIM H RAJA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "WASIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "916-934-4002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Scott Warren, D.C.
• Eliza Warren, RN
• John Alan Warren, D.C.
• Nikhil Pulpet Warrier, M.D.
• Fritzi Washington
• Elizabeth Grace Watson
• Shanelle Watson
• Michael Watts, PHARM.D
• Wave Imaging, LLC
• Waves of Peace, an Individual and Family Counseling Corporation

• Internal Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, 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 Oct 6, 2022; 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.