Active NPI
Raffi Hodikian, M.D.
- Internal Medicine Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A107319
- Practice address
- 2040 S Santa Cruz St Ste 240
Anaheim, CA 92805-6805 - Phone
- (714) 202-2330
- NPI assigned
- Oct 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60247609 | NY | |
| Internal Medicine Physician | 207R00000X | A107319 | CA | Primary |
Addresses
Primary practice location
2040 S Santa Cruz St Ste 240
Anaheim, CA 92805-6805
Mailing address
4900 California Ave,Tower B 2ND FL
Bakersfield, CA 93309
Phone (866) 949-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330
Hospital & facility affiliations
- Tea Healthcare Services Inc
- Bristol Hospice- Northern Los Angeles
- Huntington Hospital
- Emanate Health Foothill Presbyterian Hospital
- Emanate Health Inter-Community Hospital
- Monrovia Post Acute
- Glendora Canyon Transitional Care Unit
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107319 | CA | MD | Internal Medicine Physician |
| 60247609 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Hospitalist Network Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
2040 S Santa Cruz St
Ste 240
Anaheim, CA 92805
Phone (714) 202-2330
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580
250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118
625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- raffihodikian@hcpca.allscriptsdirect.net
- ms_rhodikia@landmarkhealth-direct.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bristol Hospice - Northern Los Angeles | Hospice | Contracted Managing Employee | Jun 16, 2017 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1043449291
Contracted Managing Employee
-
- Community Based Hospice Care Agency
- Lakewood, CA
- NPI 1548217011
Contracted Managing Employee
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.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
-
- Internal Medicine Physician
- Laguna Hills, CA
- NPI 1457145906
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- Skilled Nursing Facility
- Glendora, CA
- NPI 1871670117
Nursing home
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1043449291
-
- Community Based Hospice Care Agency
- Lakewood, CA
- NPI 1548217011
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
-
- Home Health Agency
- Covina, CA
- NPI 1235194507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1760633630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 CALIFORNIA AVE,TOWER B 2ND FL",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93309",
"telephone_number": "866-949-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 S SANTA CRUZ ST STE 240",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056805",
"telephone_number": "714-202-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODIKIAN",
"first_name": "RAFFI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-08",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "60247609",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A107319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.