Victor Robert Rafa, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC-28726 Issued in CA

Practice address

24002 Via Fabricante
Suite 501
Mission Viejo, CA 92691-3901

Phone

(949) 454-8811

Fax

(949) 454-8833

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Rehab and Wellness Center IncGroup PAC ID 7517094980, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gateway Rehab & Wellness Center, Inc.

  • Specialist
  • Mission Viejo, CA
  • NPI 1184746927
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952423618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24002 VIA FABRICANTE",
            "address_2": "SUITE 501",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913901",
            "telephone_number": "949-454-8811",
            "fax_number": "949-454-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24002 VIA FABRICANTE",
            "address_2": "SUITE 501",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913901",
            "telephone_number": "949-454-8811",
            "fax_number": "949-454-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFA",
        "first_name": "VICTOR",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC-28726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Coleman, Licensed Marriage and Family Therapist Incorporated
• Shadi M Rad Jadali, D.D.S., M.S.
• Kristyn Noelle Radmilovich, LCSW
• Michelle L. Radmore, OTR/L
• Raef M Elsanadi MD Inc a Professional Corporation
• Christopher Rafalski, O.D.
• Milene Rafia Faridid, PHD,
• Apais Rafia, L.AC
• Basit Rahim, MD
• Pardis Rahimi

• Sports Physician Chiropractor in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.