Individual provider Active NPI

Guy Raz

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1285017897
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A160733 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(928) 301-1644
NPI assigned
Jun 30, 2015
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X A160733 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

7777 Westside Dr Apt 569
San Diego, CA 92108-1246
Phone (928) 301-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190923003234 CA Practitioner - Emergency Medicine 1052641750 Reassigns benefits to 3 organizations
I20220413001141 NV Practitioner - Emergency Medicine 1052641750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Emergency Physicians Medical CorporationGroup PAC ID 0446151674, 18 clinicians

Practice addresses (Care Compare)

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160733CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Mar 1, 2022 Accepting new patients
Tahoe Emergency Physicians Medical Corporation Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Barton Healthcare System Emergency Medicine Current Accepting new patients
Barton Healthcare System Emergency Medicine CurrentSince Jan 14, 2022 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Mar 1, 2022 Accepting new patients
Barton Healthcare System CurrentSince Jan 14, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 24, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 24, 2019 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Carson Valley Medical Center Rural Health Clinic Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575

1111 Sierra At Tahoe Rd
Twin Bridges, CA 95735
Phone (530) 642-7549

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

Interoperability endpoints

  • Direct secure messaging: graz178769@direct.renown.org

Organizations & group practices 11

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 3

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1285017897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 WESTSIDE DR APT 569",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081246",
            "telephone_number": "928-301-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "928-301-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZ",
        "first_name": "GUY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A160733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.