Active NPI
Wasim H. Raja, M.D.
- Internal Medicine Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A110055
- Practice address
- 11100 Warner Ave Ste 110
Fountain Valley, CA 92708-7500 - Phone
- (714) 486-3477
- Fax
- (833) 334-0495
- NPI assigned
- Sep 14, 2007
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 110055 | CA | |
| Internal Medicine Physician | 207R00000X | 24295 | NE | |
| Internal Medicine Physician | 207R00000X | S5744 | TX | |
| Internal Medicine Physician | 207R00000X | 25MA10681000 | NJ | |
| Internal Medicine Physician | 207R00000X | DR.0062832 | CO | |
| Internal Medicine Physician | 207R00000X | MD61157145 | WA | |
| Hospitalist Physician | 208M00000X | DR.0062832 | CO | |
| Internal Medicine Physician | 207R00000X | A110055 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave Ste 110
Fountain Valley, CA 92708-7500
Mailing address
11100 Warner Ave Ste 110
Fountain Valley, CA 92708-7500
Phone (714) 486-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A110055 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, FL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-5151
11100 Warner Ave
Suite 110
Fountain Valley, CA 92708-7500
Phone (916) 934-4002
350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3012
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110055 | CA | MD | Internal Medicine Physician |
| A110055 | CA | MD | Internal Medicine Physician |
| 24295 | NE | MD | Internal Medicine Physician |
| 25MA10681000 | NJ | MD | Internal Medicine Physician |
| S5744 | TX | MD | Internal Medicine Physician |
| MD61157145 | WA | MD | Internal Medicine Physician |
| DR.0062832 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Wasim H Raja MD | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Catholic Healthcare West | Past | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| St Joseph Regional Health Network | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Regional West Physicians Clinic | Internal Medicine | Past | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
11100 Warner Ave
Ste 110
Fountain Vly, CA 92708
Phone (714) 557-0997
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wraja@yourcarecommunity.org
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Internal Medicine Physician
- Fountain Valley, CA
- NPI 1083257968
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
dba St Elizabeth Comm Hosp
- Institutional Pharmacy
- Red Bluff, CA
- NPI 1265472914
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oak Harbor, WA
- NPI 1144348228
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1164549549
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1497640445
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1710927231
-
- Critical Access Hospital
- Coupeville, WA
- NPI 1902771728
-
- Critical Access Hospital
- Clinton, WA
- NPI 1992823595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1205022084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 110",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087500",
"telephone_number": "714-486-3477",
"fax_number": "833-334-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 110",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087500",
"telephone_number": "714-486-3477",
"fax_number": "833-334-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJA",
"first_name": "WASIM",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "110055",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "24295",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S5744",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10681000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0062832",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61157145",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "DR.0062832",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A110055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A110055",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
- Andrew Philip Rabenstein, M.D.
- Richard Charles Raczka, MD
- Samuel Warren Rahimi-Davidson
- Rai Care Centers of Southern California I LLC (Fountain Valley Home)
- Rai Care Centers of Southern California I, LLC
- Stephen Ralph Rakower, M.D.
- Ram Mudiyam MD Inc
- Ramesh R. Patel, M.D., FCCP, Inc.
- Ramez Ghaly M D Inc
- Alejandro Ramirez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.