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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROF. RAPHAEL VASSOR P.A.
NPI 1174552970
Physician Assistant in Redwood City, CA

Active since July 02, 2006PECOS Enrolled
830 JEFFERSON AVE, REDWOOD CITY, CA 94063(650) 381-0616 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Raphael Vassor P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. RAPHAEL VASSOR P.A. (NPI 1174552970) is an individual physician assistant in Redwood City, California, licensed in California (62812) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Riviera Beach.

NPPES Registry Identity

NPI1174552970
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePROF. RAPHAEL VASSORCredential: P.A.
Location Address830 JEFFERSON AVERedwood City, CA 94063-1804
Mailing Address2113 Reston CirRoyal Palm Beach, FL 33411-6111
Phone(650) 381-0616
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1174552970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 62812
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9101540 (FL)
830 JEFFERSON AVE, Redwood City, CA 94063
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Secondary Practice Location 1

Location 17305 N Military TrlRiviera Beach, FL 33410-7417 · Phone (561) 422-5290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prof. Raphael Vassor P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES WILLIS SIMMONS II NP
Nurse Practitioner (Family)
830 JEFFERSON AVE
REDWOOD CITY, CA 94063
San Mateo County (650) 380-0616
GUSTAVO A. DIAZ MD
Emergency Medicine
830 JEFFERSON AVE
REDWOOD CITY, CA 94063
San Mateo County (650) 381-0616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raphael Vassor's NPI number?

The NPI number for Raphael Vassor is 1174552970. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Raphael Vassor located?

Raphael Vassor practices at 830 Jefferson Ave, Redwood City, CA 94063. The listed phone number is (650) 381-0616.

What is Raphael Vassor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Raphael Vassor enrolled in Medicare?

Yes. Raphael Vassor is registered in the Medicare PECOS enrollment system.

What insurance does Raphael Vassor accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Raphael Vassor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raphael Vassor was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.