Active NPI
Rafayel Vahratyan, D.O.
- Hospitalist Physician
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 20A12975
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-6266
- NPI assigned
- Jun 21, 2012
- Last updated
- Sep 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 20A12975 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-6266
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone 66120020001122
501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 842-4819
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12975 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Associates Corporation | Current | Accepting new patients | |
| Critical Care Consultants of Burbank Inc. | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Hospitalist | Current | Accepting new patients |
| Clinic Services of California Medical Group Inc | Current | Accepting new patients | |
| SCCT Medical Group, PC | Current | Accepting new patients |
Locations
201 S Buena Vista St
Ste 440
Burbank, CA 91505
Phone (818) 500-0935
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
8851 Center Dr
Ste 600
La Mesa, CA 91942
Phone (619) 589-0785
1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
Interoperability endpoints
- rvahratyan62645@direct.llu.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Burbank, CA
- NPI 1174359061
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1952878795
-
- Emergency Medicine Physician
- Lodi, CA
- NPI 1578958450
-
- Emergency Medicine Physician
- Rancho Mirage, CA
- NPI 1003866120
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Mayo Newhall Hospital
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
dba Providence Saint Joseph Medical Center
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1245593458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHRATYAN",
"first_name": "RAFAYEL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "20A12975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.