Raafat E. Attalla, PA-C
Individual provider Active NPI Surgical Physician Assistant · Los Angeles, CA
NPI 1992720726 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1992720726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA16617 (CA)
- Practice address
- 1516 San Pablo St FL 5
Los Angeles, CA 90033-5313 - Phone
- (323) 865-3700
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Usc Care Medical Group Inc
Practice addresses (Care Compare)
1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
Hospital & facility affiliations
- Usc Kenneth Norris Jr Cancer Hospital
- Keck Hospital of Usc
- Usc Verdugo Hills Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050707000917 | CA | Practitioner - Physician Assistant | 5395781603 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16617 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Urology | Current |
Accepting new patients |
| Ridgecrest Regional Hospital | Current |
Accepting new patients | |
| Usc Care Medical Group, Inc | Current |
Accepting new patients | |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Adventist Health Tulare | Past | Accepting new patients | |
| Ridgecrest Regional Hospital | Past | Accepting new patients | |
| Antelope Valley Health Care District | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Keck Medical Center of Usc | Past | Accepting new patients |
Locations
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1441 Eastlake Ave
Ste 7416
Los Angeles, CA 90089
Phone (323) 865-3700
1516 San Pablo St
Fl 5
Los Angeles, CA 90033
Phone (323) 276-3707
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404
105 E Sydnor Ave
Ridgecrest, CA 93555
Interoperability endpoints
- raafat.attalla@direct.usc.edu
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
- raafatattalla@rrh.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA16617 | CA | Yes |
Addresses
Primary practice location
1516 San Pablo St FL 5
Los Angeles, CA 90033-5313
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-3700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raafat.attalla@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
Other providers in Los Angeles, CA
- Ozhen Atoyan
- Atp Enterprises, Inc
- Atrium Services Inc
- Ajara Erica Atsegbua
- Magdoline Attalla
- Roberto Eryan Attalla
- Eman Attallah
- Sandy Attanasio
- Taylor Amiel Attar
- Sharona Attarchi
All providers in Los Angeles, CA · Surgical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.