Individual provider Active NPI

George J Rakkar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Redwood City, CA
National Provider Identifier
1114363066
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A155423 Issued in CA
Practice address
363 Main St Ste C
Redwood City, CA 94063
Phone
(650) 306-9490
Fax
(650) 306-0250
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A155423 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A155423 CA Primary

Addresses

Primary practice location

363 Main St Ste C
Redwood City, CA 94063

Mailing address

363 Main St Ste C
Redwood City, CA 94063-1729
Phone (650) 306-9490

Other practice location 1

6431 Fannin St
MSB 5.020
Houston, TX 77030-1501
Phone (713) 500-6200

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
I20180918003828 CA Practitioner - AnesthesiologyPractitioner - Pain Management 8022371921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Medical School at Houston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remedy Medical GroupGroup PAC ID 7618166091, 12 clinicians

Practice addresses (Care Compare)

730 Howe Ave
Suite 400
Sacramento, CA 95825-4699
Phone (650) 306-9490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155423CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 24, 2021 Accepting new patients
Remedy Medical Group CurrentSince Aug 8, 2018 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Restorative Medical PC CurrentSince Aug 7, 2022 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 24, 2021 Accepting new patients
Sequoia Health Services Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

80 Grand Ave
Ste 810
Oakland, CA 94612
Phone (510) 451-6950

3300 Webster St
Ste 601
Oakland, CA 94609
Phone (510) 272-9610

1330 Tara Hills Dr
Ste E105
Pinole, CA 94564
Phone (650) 667-2322

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

363 Main St
#C
Redwood City, CA 94063
Phone (650) 306-8928

730 Howe Ave
Ste 400
Sacramento, CA 95825

490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177

490 Post St
Ste 901
San Francisco, CA 94102
Phone (415) 421-2256

175 N Jackson Ave
Ste 109
San Jose, CA 95116
Phone (408) 445-8400

1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119

880 Las Gallinas Ave
Ste 6
San Rafael, CA 94903
Phone (415) 499-3399

3596 Skyway Dr
Ste B
Santa Maria, CA 93455
Phone (805) 614-7820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1114363066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MAIN ST STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631729",
            "telephone_number": "650-306-9490",
            "fax_number": "650-306-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST STE C",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-306-9490",
            "fax_number": "650-306-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "MSB 5.020",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKKAR",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A155423",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A155423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.