Syed J Raza MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A52952 Issued in CA

Legal business name

SYED J RAZA MD INC

Practice address

15962 Quantico Rd
Apple Valley, CA 92307-1302

Phone

(760) 242-7560

Fax

(760) 242-7563

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Syed Jafar Raza, MDNPI 1275609588

Title

President

Phone

(760) 242-7560

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Jafar Raza, MD

  • Cardiovascular Disease Physician
  • Apple Valley, CA
  • NPI 1275609588
  Medicare reassignment Care Compare group NPD Authorized official
• Elias Christopher Frangos, PA-C

  • Medical Physician Assistant
  • Port Townsend, WA
  • NPI 1235697376

  CA

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1750570248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2680",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923932680",
            "telephone_number": "760-242-7560",
            "fax_number": "760-242-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15962 QUANTICO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071302",
            "telephone_number": "760-242-7560",
            "fax_number": "760-242-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED J RAZA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "JAFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-7560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A52952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR E PROVIDER NUMBER",
            "identifier": "ZZZ29993Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A529520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Omar Zahoor Tahir, MD

• Cardiovascular Disease Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.