Individual provider Active NPI

Faisal Saeed Razzaqi, MD

  • Pediatric Hematology & Oncology Physician
  • Madera, CA
National Provider Identifier
1780875658
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
A109943 Issued in CA
Practice address
9300 Valley Children's Place
FC-13
Madera, CA 93636
Phone
(559) 353-5480
Fax
(559) 353-5490
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X MD.201857 LA
Pediatric Hematology & Oncology Physician 2080P0207X A109943 CA Primary

Addresses

Primary practice location

9300 Valley Children's Place
FC-13
Madera, CA 93636

Mailing address

9300 Valley Children's Place
FC-13
Madera, CA 93636
Phone (559) 353-5480

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000312 CA Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 0446392393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Childrens Medical GroupGroup PAC ID 9032439336, 50 clinicians

Practice addresses (Care Compare)

1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 572-3880

9300 Valley Childrens PL
Madera, CA 93636-8761

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109943CAMDPediatric Hematology & Oncology Physician
MD.201857LAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children's Specialty Medical Group, Inc. CurrentSince Dec 21, 2009 Accepting new patients
Valley Children's Medical Group CurrentSince May 15, 2015 Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

9300 Valley Childrens Pl
#13
Madera, CA 93636
Phone (559) 353-5770

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

3525 Pelandale Ave
Modesto, CA 95356
Phone (209) 572-3880

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Interoperability endpoints

  • Direct secure messaging: frazzaqi9735@valleychildrens-prd.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1780875658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDREN'S PLACE",
            "address_2": "FC-13",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93636",
            "telephone_number": "559-353-5480",
            "fax_number": "559-353-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDREN'S PLACE",
            "address_2": "FC-13",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93636",
            "telephone_number": "559-353-5480",
            "fax_number": "559-353-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAQI",
        "first_name": "FAISAL",
        "middle_name": "SAEED",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "LA",
            "license": "MD.201857",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A109943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.