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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: August 16, 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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

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.

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.

What insurance does Rusty Razon accept?

Health plans from Providence Health Plan list Rusty Razon 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 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 6 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.