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

Raffy Mirzayan, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1588731467

Raffy Mirzayan, MD is an Orthopedic Surgery in LA Canada, California. Graduated from University of Southern California Keck School of Medicine in 1995, 31 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

466 Foothill Blvd Ste 121
LA Canada, CA 91011-3518
Phone: (424) 235-7187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A60906 (CA)

Record details

NPI number1588731467
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026
Mailing address466 Foothill Blvd Ste 121, La Canada, CA 91011-3518

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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