Individual provider Active NPI

Rafayel Vahratyan, D.O.

  • Hospitalist Physician
  • Colton, CA
National Provider Identifier
1245593458
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A12975 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-6266
NPI assigned
Jun 21, 2012
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111002084 CA Practitioner - Critical Care (Intensivists) 6305156910 Reassigns benefits to 5 organizations

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
SCCT Medical Group PCGroup PAC ID 4183978026, 12 clinicians
Critical Care Consultants of Burbank Inc.Group PAC ID 6709306152, 8 clinicians

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

LicenseStateTypeSpecialty
20A12975CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Oct 8, 2018 Accepting new patients
Critical Care Consultants of Burbank Inc. CurrentSince Dec 5, 2024 Accepting new patients
Quantum Healthcare Medical Associates Inc. Hospitalist CurrentSince Dec 1, 2015 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
SCCT Medical Group, PC CurrentSince Nov 6, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.