Individual provider Active NPI

Wasim H. Raja, M.D.

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1205022084
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A110055 Issued in CA
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

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A110055MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, FL, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110623000432 CA Practitioner - HospitalistPractitioner - Internal Medicine 6507952074 Reassigns benefits to 4 organizations
I20201021001414 TX Practitioner - Internal Medicine 6507952074
I20220205000031 FL Practitioner - Internal Medicine 6507952074
I20220906001819 WA Practitioner - Internal Medicine 6507952074 Reassigns benefits to 1 organization

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
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

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

LicenseStateTypeSpecialty
110055CAMDInternal Medicine Physician
A110055CAMDInternal Medicine Physician
24295NEMDInternal Medicine Physician
25MA10681000NJMDInternal Medicine Physician
S5744TXMDInternal Medicine Physician
MD61157145WAMDInternal Medicine Physician
DR.0062832COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince May 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Aug 25, 2018 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 6, 2023 Accepting new patients
Wasim H Raja MD Internal Medicine CurrentSince Dec 7, 2019 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Nov 6, 2023 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 6

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": "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

Sources for this page

Verify at the official NPI Registry.