NPIMap

Individual provider Active NPI

Rahim A Raoufi, MD

  • Gastroenterology Physician
  • Lompoc, CA
National Provider Identifier
1356327597
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A94293 Issued in CA
Practice address
228 S D St
Suite B
Lompoc, CA 93436-7308
Phone
(805) 740-6633
Fax
(805) 740-6630
NPI assigned
Dec 20, 2005
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A94293 CA Primary

Addresses

Primary practice location

228 S D St
Suite B
Lompoc, CA 93436-7308

Mailing address

228 S D St
Suite B
Lompoc, CA 93436-7308
Phone (805) 740-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071113000452 CA Practitioner - GastroenterologyPractitioner - Emergency MedicinePractitioner - Family Practice 5698700458 Reassigns benefits to 3 organizations
I20240731000401 NM Practitioner - Gastroenterology 5698700458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Centers of the Central Coast IncGroup PAC ID 7416868120, shared by 23 NPIs, 74 clinicians
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

150 Tejas PL
Nipomo, CA 93444-9123
Phone (805) 929-3211

228 S D St
Lompoc, CA 93436-7308
Phone (805) 740-6633

500 Walter St NE
Suite 401
Albuquerque, NM 87102-2563
Phone (505) 727-5910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy509
Upper gastrointestinal (GI) endoscopy for acid reflux405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94293CAMDSocial Worker
A94293CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Aug 1, 2024 Accepting new patients
Las Cruces Physician Services LLC CurrentSince Nov 30, 2024 Accepting new patients
Lompoc Surgery Center LLC CurrentSince Mar 31, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Aug 1, 2024 Accepting new patients
Lompoc Hospitalist Group PC CurrentSince Jun 5, 2020 Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Sansum Clinic Past Accepting new patients
Russell County Medical Center Inc Past Accepting new patients
Adventist Health Tulare Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Santa Ynez Valley Cottage Hospital, Inc Past Accepting new patients

Locations

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

500 Walter St NE
Ste 401
Albuquerque, NM 87102
Phone (505) 727-5910

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGBACA/Endpoint/CGBACA
  • Direct secure messaging: rahim.raoufi.1@17363.direct.athenahealth.com
  • Direct secure messaging: rraoufi1136889@ahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1356327597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S D ST",
            "address_2": "SUITE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367308",
            "telephone_number": "805-740-6633",
            "fax_number": "805-740-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S D ST",
            "address_2": "SUITE B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367308",
            "telephone_number": "805-740-6633",
            "fax_number": "805-740-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUFI",
        "first_name": "RAHIM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A94293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.