DR. SIMON B RAYHANABAD (MD) – Vascular Surgery Physician, NPI 1710910047

DR. SIMON B RAYHANABAD (MD) is a healthcare provider. based in Los alamitos, California. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A36844 (CA). The NPI Number for DR. SIMON B RAYHANABAD (MD) is 1710910047

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. SIMON B RAYHANABAD (MD)
NPI
1710910047
Phone
(562) 596-6736
Address
3791 KATELLA AVE
Enumeration Date
9 July 2006
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5625966736
Graduation Year
1972 (54 years ago)
PAC ID
7214997238
Group Practice PAC ID
7618937871
Professional Enrollment ID
I20111227000653
Address ID
CA907202016LO3791XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

675 VASCULAR SURGERY in CA

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Provider Addresses for DR. SIMON B RAYHANABAD (MD)

  • 3791, Katella Avenue, Los Alamitos, Orange County, California, 90720, United States

    #201

    LOS ALAMITOS, CA 907203105

    Phone: (562) 596-6736

    Fax: (562) 596-5387

    Type: Mailing

  • 3791 KATELLA AVE STE 201

    LOS ALAMITOS, CA 907202016

    Phone: (562) 596-6736

    Fax: (562) 596-5387

    Type: Mailing

  • 3747 Worsham Ave Ste 200

    Long Beach, CA 908081734

    Phone: (562) 630-8821

    Fax: (562) 421-9555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,189.

Total Amount is formed as General ($1,189) + Research ($0) + Ownership ($0) = $1,189.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Silk Road Medical, Inc. ($239).

Total Amount

$1,189

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

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: 2011-12-27

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
I20111227000653IVascular SurgeryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18164$0
99213Established patient office or other outpatient visit, 20-29 minutes9776$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6864$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6735$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 90720)

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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: 7618937871View full group profile
NameSpecialtyState
-CA
Certified Clinical Nurse Specialist (Cns)CA
Vascular Surgery, General SurgeryCA

Reviews

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Frequently asked questions

How is DR. SIMON B RAYHANABAD (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SIMON B RAYHANABAD (MD) with NPI 1710910047.
Is DR. SIMON B RAYHANABAD (MD) listed as active for patients and plans?
The listing shows DR. SIMON B RAYHANABAD (MD) as active in the NPI system.
What is DR. SIMON B RAYHANABAD (MD) best known for clinically?
Directory data describes DR. SIMON B RAYHANABAD (MD) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SIMON B RAYHANABAD (MD) on a map?
Expect Los Alamitos, California as a primary anchor for DR. SIMON B RAYHANABAD (MD) unless the record lists multiple sites.
Why does DR. SIMON B RAYHANABAD (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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