Active NPI
Andrew Rizeq
- Physician Assistant
- Tustin, CA
National Provider Identifier
1649013822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 17612 17TH St Ste 101
Tustin, CA 92780-1962 - Phone
- (714) 243-5450
- NPI assigned
- Jun 17, 2024
- Last updated
- Oct 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
17612 17TH St Ste 101
Tustin, CA 92780-1962
Mailing address
309 E 2ND St
Pomona, CA 91766-1854
Other practice location 1
309 E 2nd St
Pomona, CA 91766-1854
Phone (909) 623-6166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tustin Urgent Care, Apc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Xpress Urgent Care Tustin
- Urgent Care Clinic/Center
- Tustin, CA
- NPI 1225407596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1649013822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17612 17TH ST STE 101",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801962",
"telephone_number": "714-243-5450"
}
],
"practiceLocations": [
{
"address_1": "309 E 2nd St",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917661854",
"country_code": "US",
"telephone_number": "909-623-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIZEQ",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-17",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
- Rite of Passage Adolescent Treatment Centers and Schools Inc.
- Rite of Passage Adolescent Treatment Centers and Schools Inc. (TFC - Ste D)
- Rite of Passage Adolescent Treatment Centers and Schools Inc. (Tustin Family Campus)
- Shawn M. Rivera-Ho, M.S., L.M.F.T.
- Emily K Rivera
- RMS Medical Group, Inc.
- Norman Werner Roach, PH.D.
- Robert Amster MD-Eastlake Inc
- Robert Amster MD-Grossmont Inc
- Robert Amster MD-Rancho Penasquitos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.