NPIMap

Organization Active NPI

Rizkalla, Inc.

  • Anesthesiology Physician
  • Huntington Beach, CA
National Provider Identifier
1922033430
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RIZKALLA, INC.
Practice address
17161 Goldenwest St Ste C
Huntington Beach, CA 92647-5480
Phone
(714) 373-1400
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Dr. Safwat Rizkalla
Title
President
Phone
(714) 293-4971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

17161 Goldenwest St Ste C
Huntington Beach, CA 92647-5480

Mailing address

27040 Maiden Moor LN
Yorba Linda, CA 92887-4226
Phone (714) 293-4971

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ65316ZOtherCABLUE SHIELD
GR0101670MedicaidCA

National Provider Directory

National Provider Directory

Locations

17161 Goldenwest St
Ste C
Huntington Beach, CA 92647
Phone (714) 373-1400

25211 Paseo de Alicia
Ste 100
Laguna Hills, CA 92653
Phone (949) 900-3480

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1922033430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27040 MAIDEN MOOR LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874226",
            "telephone_number": "714-293-4971",
            "fax_number": "714-692-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17161 GOLDENWEST ST STE C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475480",
            "telephone_number": "714-373-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZKALLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "RIZKALLA",
        "authorized_official_first_name": "SAFWAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-293-4971",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65316Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.