Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prof. Raphael Vassor, PA

Individual provider Medical Physician Assistant · NPI 1174552970

Prof. Raphael Vassor, PA is a Medical Physician Assistant in Redwood City, California. Works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

830 Jefferson Ave
Redwood City, CA 94063-1804
Phone: (650) 381-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7305 N Military Trl, Riviera Beach, FL 33410-7417 — (561) 422-5290

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62812 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9101540 (FL)

Record details

NPI number1174552970
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2006
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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