Individual provider Active NPI

Sarah Raza

  • Vascular & Interventional Radiology Physician
  • Flushing, NY
National Provider Identifier
1669826228
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
19921 Issued in CA
Practice address
3614 165TH St
Apt #1GN
Flushing, NY 11358-2042
Phone
(347) 421-1955
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19921 CA
Vascular & Interventional Radiology Physician 2085R0204X 19921 CA Primary

Addresses

Primary practice location

3614 165TH St
Apt #1GN
Flushing, NY 11358-2042

Mailing address

3614 165TH St
Apt #1GN
Flushing, NY 11358-2042
Phone (347) 421-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221012001989 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2466828736 Reassigns benefits to 2 organizations
I20221216001926 HI Practitioner - Interventional Radiology 2466828736 Reassigns benefits to 1 organization
I20230313000803 NY Practitioner - Diagnostic Radiology 2466828736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Practice addresses (Care Compare)

14819 Magnolia Blvd
Unit 9
Sherman Oaks, CA 91403-5630
Phone (818) 639-2901

Hospital & facility affiliations

  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients

Locations

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

4100 Guardian St
Ste 205
Simi Valley, CA 93063
Phone (805) 522-5940

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

2 Dole Dr
Westlake Village, CA 91362
Phone (310) 208-3100

Interoperability endpoints

  • Direct secure messaging: sraza3509286@nychhc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1669826228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 165TH ST",
            "address_2": "APT #1GN",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582042",
            "telephone_number": "347-421-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 165TH ST",
            "address_2": "APT #1GN",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582042",
            "telephone_number": "347-421-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "19921",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "19921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.