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ANDREW RIZEQ
NPI 1649013822
Physician Assistant in Tustin, CA

Active since June 17, 2024PECOS Enrolled
17612 17TH ST STE 101, TUSTIN, CA 92780(714) 243-5450 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 11, 2024, Sep 8, 2024, Jun 17, 2024 (3 updates tracked since 2024).

About Andrew Rizeq NPPES

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

ANDREW RIZEQ (NPI 1649013822) is an individual physician assistant in Tustin, California and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1649013822
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW RIZEQ
Location Address17612 17TH ST STE 101Tustin, CA 92780-1962
Mailing Address309 E 2nd StPomona, CA 91766-1854
Phone(714) 243-5450
Sole ProprietorNo
Enumeration DateJune 17, 2024
Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1649013822 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
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17612 17TH ST STE 101, Tustin, CA 92780
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Secondary Practice Location 1

Location 1309 E 2nd StPomona, CA 91766-1854 · Phone (909) 623-6166

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Rizeq 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 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 10

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

HENRY C. LUU
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
JACQUELINE QI PA
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
SOL ENRIQUEZ ESTRELLA FNP-BC
Nurse Practitioner (Family)
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
MELISSA JEAN HEAVIRLAND PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
JACOB LISCANO
Nurse Practitioner (Family)
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
AMY TRAN PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
NATHAN HWANG
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450
SALVATORE PUMA PA-C
Physician Assistant
17612 17TH ST STE 101
TUSTIN, CA 92780
Orange County (714) 243-5450

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 Andrew Rizeq's NPI number?

The NPI number for Andrew Rizeq is 1649013822. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Andrew Rizeq located?

Andrew Rizeq practices at 17612 17th St Ste 101, Tustin, CA 92780. The listed phone number is (714) 243-5450.

What is Andrew Rizeq's specialty?

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

Is Andrew Rizeq enrolled in Medicare?

Yes. Andrew Rizeq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Rizeq was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.