Individual provider Active NPI

Raafat N. Mattar, M.D.

  • Interventional Pain Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1083789085
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A82852 Issued in CA
Practice address
18800 Delaware St Ste 630
Huntington Beach, CA 92648-6099
Phone
(562) 493-2225
Fax
(562) 426-8929
NPI assigned
Nov 22, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A82852 CA Primary
Anesthesiology Physician 207L00000X A82852 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A82852 CA

Addresses

Primary practice location

18800 Delaware St Ste 630
Huntington Beach, CA 92648-6099

Mailing address

18800 Delaware St Ste 630
Huntington Beach, CA 92648-6099
Phone (562) 493-2225

Other practice location 1

5199 E Pacific Coast Hwy Ste 304
Long Beach, CA 90804-3355
Phone (562) 493-2225

Other identifiers 1

IdentifierTypeStateIssuer
00A828520MedicaidCA

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
I20040902001299 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6709852528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18800 Delaware St
Suite 630
Huntington Beach, CA 92648-6099
Phone (562) 493-2225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82852CAMDClinical Social Worker
A82852CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raafat Mattar, MD, Inc. Pain Medicine CurrentSince Nov 1, 2015 Accepting new patients
St. Michael Surgery Center, LLC CurrentSince Jan 27, 2015 Accepting new patients
Medhat F. Mikhael, M.D., Inc Pain Medicine PastSince May 8, 2023 Accepting new patients
American Hospital Management Corporation Past Accepting new patients
Precision Occupational Medical Group, Inc. PastSince Nov 1, 2015 Accepting new patients
Robyn K Sato DO Medical Corporation Past Accepting new patients
John G. Alevizos, D.O., a Professional Medical Corporation Past Accepting new patients

Locations

12495 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

12556 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

18800 Delaware St
Ste 630
Huntington Beach, CA 92648
Phone (562) 493-2225

5267 Warner Ave
Huntington Beach, CA 92649
Phone (562) 493-2225

3828 Schaufele Ave
Ste 320
Long Beach, CA 90808
Phone (562) 348-4588

5199 E Pacific Coast Hwy
Ste 304
Long Beach, CA 90804
Phone (562) 493-2225

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJCHAA/Endpoint/EJCHAA

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1083789085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486099",
            "telephone_number": "562-493-2225",
            "fax_number": "562-426-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486099",
            "telephone_number": "562-493-2225",
            "fax_number": "562-426-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5199 E Pacific Coast Hwy Ste 304",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908043355",
            "country_code": "US",
            "telephone_number": "562-493-2225",
            "fax_number": "562-426-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTAR",
        "first_name": "RAAFAT",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A82852",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A82852",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A82852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A828520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.