Rae Star Health Systems, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001554 Issued in CA

Legal business name

RAE STAR HEALTH SYSTEMS, INC.

Practice address

17215 Studebaker Rd.
Suite 175
Cerritos, CA 90703-2556

Phone

(562) 865-1340

Fax

(562) 865-1405

NPI assigned

May 14, 2007

Last updated

Nov 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Rojas Afan

Title

President

Phone

(562) 881-1091

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235344961. Details of each certification follow.

• CCN 059019 Home health agency · Active · Details

Home health agency certification: CCN 059019

Legal name

RAE STAR HEALTH SYSTEMS, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 23, 2008

Last certification

Jul 22, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 4, 2003 in CA

Enrollment address

17215 Studebaker Rd
Ste 175
Cerritos, CA 90703-2556

Listed as

Rae Star Health Systems, IncCCN 059019 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Oct 23, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sohail Davoudian, M.D.

  • Internal Medicine Physician
  • Redondo Beach, CA
  • NPI 1255462248

  Home health agency

  Care Compare affiliation
• Nabil I El Sayad, M.D.

  • Internal Medicine Physician
  • Lomita, CA
  • NPI 1134201791

  Home health agency

  Care Compare affiliation
• Bijan Ghatan, M.D.

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1841208964

  Home health agency

  Care Compare affiliation
• Eric Mario Tate, M.D.

  • Internal Medicine Physician
  • Paramount, CA
  • NPI 1790869139

  Home health agency

  Care Compare affiliation
• Mark Chung-Hsun Tsai, M.D.

  • Internal Medicine Physician
  • Paramount, CA
  • NPI 1225033111

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1235344961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD.",
            "address_2": "SUITE 175",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032256",
            "telephone_number": "562-865-1340",
            "fax_number": "562-865-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD.",
            "address_2": "SUITE 175",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032556",
            "telephone_number": "562-865-1340",
            "fax_number": "562-865-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE STAR HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "AFAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROJAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-881-1091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "980001554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Quintana
• Clarissa Lisett Quintanilla
• Farah Quyyumi, M.D.
• Ji Hae Ra, NP
• Jerome Rabina, RPT
• Nasreen Safdar Rahman, FNP
• Sudha Rai
• Kaitlyn Raigoza
• Ralphs Grocery Company (Ralphs Pharmacy)
• Jessica Ramey

• Home Health Agency in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.