Healthcare Provider Details

I. General information

NPI: 1013013218
Provider Name (Legal Business Name): HAMID R. RASSAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 COUNTRY HILLS DR STE A
ANTIOCH CA
94509-7436
US

IV. Provider business mailing address

2350 COUNTRY HILLS DR STE A
ANTIOCH CA
94509-7436
US

V. Phone/Fax

Practice location:
  • Phone: 925-757-0800
  • Fax: 925-757-2160
Mailing address:
  • Phone: 925-757-0800
  • Fax: 925-757-2160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA060998
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: