Active NPI
Raif Wadie Iskander, PA-C, D.C.
- Physician Assistant
- Tustin, CA
National Provider Identifier
1952463564
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21793
- Practice address
- 1431 Warner Ave
Suite D
Tustin, CA 92780-6444 - Phone
- (949) 734-4335
- Fax
- (949) 264-1083
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 23282 | CA | |
| Physician Assistant | 363A00000X | PA21793 | CA | Primary |
Addresses
Primary practice location
1431 Warner Ave
Suite D
Tustin, CA 92780-6444
Mailing address
1431 Warner Ave
Suite D
Tustin, CA 92780-6444
Phone (949) 734-4335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21793 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PA21793 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1952463564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 WARNER AVE",
"address_2": "SUITE D",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806444",
"telephone_number": "949-734-4335",
"fax_number": "949-264-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 WARNER AVE",
"address_2": "SUITE D",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806444",
"telephone_number": "949-734-4335",
"fax_number": "949-264-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKANDER",
"first_name": "RAIF",
"middle_name": "WADIE",
"name_prefix": "Dr.",
"credential": "PA-C, D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23282",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.