1. Home
  2. Directory
  3. California
  4. Buena Park
  5. Nurse Practitioner
  6. NPI Profile

RUSTY RAZON
NPI 1710620430
Nurse Practitioner - Psychiatric/Mental Health in Buena Park, CA

Active since April 20, 2022PECOS Enrolled
6930 BEACH BLVD, SUITE L-141 PMB 1007, BUENA PARK, CA 90621(626) 848-6417(714) 276-2604 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Sep 12, 2025, May 7, 2025 and 1 more (4 updates tracked since 2022).

About Rusty Razon NPPES

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

RUSTY RAZON (NPI 1710620430) is an individual psychiatric/mental health provider in Buena Park, California, licensed in California (95035001) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710620430
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRUSTY RAZON
Location Address6930 BEACH BLVD, SUITE L-141 PMB 1007Buena Park, CA 90621
Mailing Address6930 Beach Blvd, Suite L-141 Pmb 1007Buena Park, CA 90621 · Fax (714) 276-2604
Phone(626) 848-6417
Fax(714) 276-2604
Sole ProprietorYes
Enumeration DateApril 20, 2022
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1710620430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95035001
Also ListedRegistered NurseTaxonomy 163W00000X · License 95188168 (CA)
6930 BEACH BLVD, Buena Park, CA 90621
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rusty Razon 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.

Medicare Billing Reassignment

Medicare enrollment records show Rusty Razon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health And Nursing PC
2.6 mi
Psychiatric/Mental Health
421 N BROOKHURST ST STE 119
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1528693579 (714) 361-0898

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90621 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rusty Razon's NPI number?

The NPI number for Rusty Razon is 1710620430. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Rusty Razon located?

Rusty Razon practices at 6930 Beach Blvd Suite L-141 Pmb 1007, Buena Park, CA 90621. The listed phone number is (626) 848-6417.

What is Rusty Razon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rusty Razon enrolled in Medicare?

Yes. Rusty Razon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rusty Razon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rusty Razon reassigns Medicare benefits to Mental Health And Nursing PC (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rusty Razon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rusty Razon was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.