Raphael Vassor, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

62812 Issued in CA

Practice address

830 Jefferson Ave
Redwood City, CA 94063-1804

Phone

(650) 381-0616

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmcrvasso@yourcarecommunity.org

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.

• Elite Medical Services at Lakeside LLC

  • Emergency Medicine Physician
  • Belle Glade, FL
  • NPI 1992216568
  Medicare reassignment
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  Medicare reassignment
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• FL-I Medical Services LLC

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1831508217

  Physician Assistant

  NPD
• Brookdale Hospital Medical Center

  dba Brookdale Emergency Physicians Associates

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1962451195
  NPD (past)
• Emergency Specialists of Wellington LLC

  • Emergency Medicine Physician
  • Wellington, FL
  • NPI 1720038391

  Physician Assistant

  NPD (past)
• Public Health Trust of Miami Dade County Florida

  • Emergency Medical Services (Emergency Medicine) Physician
  • North Miami Beach, FL
  • NPI 1578690236
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1174552970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 RESTON CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JEFFERSON AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631804",
            "telephone_number": "650-381-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "Riviera Beach",
            "state": "FL",
            "postal_code": "334107417",
            "country_code": "US",
            "telephone_number": "561-422-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASSOR",
        "first_name": "RAPHAEL",
        "name_prefix": "Prof.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101540",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Oscar Vargas, M.D.
• Joshua Vasconcellos
• Christina Rosa Vasquez-Leiva, LCSW82547
• Joe C Vasquez
• Zoia A Vassilevskaia
• Stephen Vaughan, MD
• Sara Josephine Vaughn, M.D.
• Kristin Mika Vavaroutsos
• Beata Jane Vayngortin, MD
• Isaac Dilan Vazquez

• Physician Assistant in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.