HAZRAT G. RAFAH (P.A.) – Physician Assistant, NPI 1184633976

HAZRAT G. RAFAH (P.A.) is a healthcare provider. based in Tracy, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA18268 (CA). The NPI Number for HAZRAT G. RAFAH (P.A.) is 1184633976

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
HAZRAT G. RAFAH (P.A.)
NPI
1184633976
Phone
(661) 917-8500
Address
388 GLENBRIAR CIR
Enumeration Date
8 August 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099662344
Graduation Year
2005 (21 years ago)
PAC ID
8527061969
Group Practice PAC ID
3476813460
Professional Enrollment ID
I20060824000359
Address ID
CA953389588MA5320XNXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for HAZRAT G. RAFAH (P.A.)

  • 388, Glenbriar Circle, Pebblebrook, Tracy, San Joaquin County, California, 95377, United States

    TRACY, CA 953774144

    Phone: (661) 917-8500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2023-11-19 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($158).

Total Amount

$277

General + Research + Ownership

Payments

4

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060824000359IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95377)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476813460View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA
Cardiovascular Disease (Cardiology), Nuclear Medicine, Internal MedicineCA
Nurse PractitionerCA
Internal Medicine, Critical Care (Intensivists)CA

Reviews

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Frequently asked questions

How do payers reference HAZRAT G. RAFAH (P.A.)?
For HAZRAT G. RAFAH (P.A.), use NPI 1184633976 as the unique 10-digit identifier.
Is there an active status for HAZRAT G. RAFAH (P.A.)?
For scheduling context, HAZRAT G. RAFAH (P.A.) is shown as active in the registry.
What kind of doctor is HAZRAT G. RAFAH (P.A.)?
HAZRAT G. RAFAH (P.A.) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is HAZRAT G. RAFAH (P.A.) associated with Tracy?
Public fields place HAZRAT G. RAFAH (P.A.) around Tracy, California. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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