NPIMap

Individual provider Active NPI

Simon B Rayhanabad, MD

  • Vascular Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1710910047
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A36844 Issued in CA
Practice address
3791 Katella Ave
#201
Los Alamitos, CA 90720-3105
Phone
(562) 596-6736
Fax
(562) 596-5387
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A36844 CA
Vascular Surgery Physician 2086S0129X A36844 CA Primary

Addresses

Primary practice location

3791 Katella Ave
#201
Los Alamitos, CA 90720-3105

Mailing address

3791 Katella Ave Ste 201
Los Alamitos, CA 90720-2016
Phone (562) 596-6736

Other practice location 1

3747 Worsham Ave Ste 200
Long Beach, CA 90808-1734
Phone (562) 630-8821

Other practice location 2

16506 Lakewood Blvd Ste 200
Bellflower, CA 90706-5165
Phone (562) 888-8961

Other identifiers 1

IdentifierTypeStateIssuer
00A368440MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000653 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7214997238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and General Surgery AssociatesGroup PAC ID 7618937871, 3 clinicians

Practice addresses (Care Compare)

3747 Worsham Ave
Suite 200
Long Beach, CA 90808-1734
Phone (562) 630-8821

3791 Katella Ave
Los Alamitos, CA 90720-2016
Phone (562) 596-6736

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
67.81
Improvement activities
40
Cost
74.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36844CAMDSurgery Physician
36844CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Vascular & General Surgery Associates Surgery CurrentSince Feb 1, 1989 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
CHLB, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

3747 Worsham Ave
Long Beach, CA 90808
Phone (562) 430-4513

3747 Worsham Ave
Ste 200
Long Beach, CA 90808
Phone (562) 548-7530

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3791 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 206-1312

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1710910047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE STE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202016",
            "telephone_number": "562-596-6736",
            "fax_number": "562-596-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE",
            "address_2": "#201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203105",
            "telephone_number": "562-596-6736",
            "fax_number": "562-596-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 Worsham Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081734",
            "country_code": "US",
            "telephone_number": "562-630-8821",
            "fax_number": "562-421-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16506 Lakewood Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065165",
            "country_code": "US",
            "telephone_number": "562-888-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYHANABAD",
        "first_name": "SIMON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A36844",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A36844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A368440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.