Ramzy Assaf
Individual provider Active NPI Physician Assistant · Lacey, WA
NPI 1134598949 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1134598949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA66507 (CA)
- Practice address
- 5000 Abbey Way SE
Lacey, WA 98503-3200 - Phone
- (360) 438-4536
- NPI assigned
- Sep 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3250 Wilshire Blvd
Suite 1101
Los Angeles, CA 90010-1513
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260130001996 | CA | Practitioner - Physician Assistant | 8729566864 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000014095 | CA | MD | Athletic Trainer |
| PA66507 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Current |
Accepting new patients |
Locations
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000014095 | CA | |
| Physician Assistant | 363A00000X | PA66507 | CA | Yes |
Addresses
Primary practice location
5000 Abbey Way SE
Lacey, WA 98503-3200
Mailing address
PO Box 1152
South Pasadena, CA 91031-1152
Other providers in Lacey, WA
- Karlee Arth
- Arukah Counseling, PLLC
- Ash & Ember Massage and Wellness PLLC
- Niloofar Ashrafi
- Aspire Inc
- Dean Atkins
- Jennifer Austin
- Yvonne Austin
- Oscar R Ayala
- Fonabei Ayongaba
All providers in Lacey, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.