Active NPI
Hazrat G. Rafah, P.A.
- Physician Assistant
- Tracy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18268
- Practice address
- 388 Glenbriar Cir
Tracy, CA 95377-4144 - Phone
- (661) 917-8500
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18268 | CA | Primary |
Addresses
Primary practice location
388 Glenbriar Cir
Tracy, CA 95377-4144
Mailing address
388 Glenbriar Cir
Tracy, CA 95377-4144
Phone (661) 917-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA18268 | Other | CA | PA LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18268 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of America | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Ran Health Services, Inc. | Current | Accepting new patients |
Locations
6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
489 5th St
Gustine, CA 95322
Phone (209) 854-3728
554 5th St
Gustine, CA 95322
Phone (209) 391-8854
517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388
5320 State Highway 49 N
Ste 1
Mariposa, CA 95338
Phone (209) 966-2225
5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344
733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Mariposa, CA
- NPI 1891207684
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Auburn, CA
- NPI 1700184819
-
- Federally Qualified Health Center (FQHC)
- Gustine, CA
- NPI 1245105733
-
- Family Medicine Physician
- Livingston, CA
- NPI 1669986030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184633976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 GLENBRIAR CIR",
"city": "TRACY",
"state": "CA",
"postal_code": "953774144",
"telephone_number": "661-917-8500",
"fax_number": "661-326-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 GLENBRIAR CIR",
"city": "TRACY",
"state": "CA",
"postal_code": "953774144",
"telephone_number": "661-917-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFAH",
"first_name": "HAZRAT",
"middle_name": "G.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA18268",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.