Individual provider Active NPI

Ardavan John Rafizadeh, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1174564058
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62479 Issued in CA
Practice address
212 San Jose St Ste 301
Salinas, CA 93901-3928
Phone
(831) 759-3289
Fax
(831) 758-1565
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62479 CA Primary

Addresses

Primary practice location

212 San Jose St Ste 301
Salinas, CA 93901-3928

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050502000357 TX Practitioner - Physician Assistant 0345289146 Reassigns benefits to 1 organization
I20220929002086 AR Practitioner - Physician Assistant 0345289146 Reassigns benefits to 3 organizations
I20230621002255 CA Practitioner - Physician Assistant 0345289146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62479CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 6, 2022 Accepting new patients
Physician Assistant Services of Texas L.L.P CurrentSince Feb 1, 2006 Accepting new patients
Physician Assistant Services of Texas L.L.P CurrentSince Feb 1, 2006 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 6, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 6, 2022 Accepting new patients
Arkansas Children's Hospital CurrentSince Sep 6, 2022 Accepting new patients
Svmhs Clinics CurrentSince May 9, 2023 Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

212 San Jose St
Ste 301
Salinas, CA 93901
Phone (831) 759-3289

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

1608 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7700

3500 Gaston Ave
Dallas, TX 75246

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • Direct secure messaging: arafizadeh2511273@direct.ccf.org
  • Direct secure messaging: jrafizadeh18268@direct.svmh.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1174564058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SAN JOSE ST STE 301",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013928",
            "telephone_number": "831-759-3289",
            "fax_number": "831-758-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIZADEH",
        "first_name": "ARDAVAN",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.