Patricia Raygada-Rabanal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106476 Issued in CA

Practice address

7733 Palm St Ste 107
Lemon Grove, CA 91945-2967

Phone

(619) 460-1991

Fax

(619) 460-1995

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raygada & Rabanal DDS Inc.

  • Dentist
  • Lemon Grove, CA
  • NPI 1942540943
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1003487414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 CAMINO MOJAVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144616",
            "telephone_number": "619-948-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 PALM ST STE 107",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452967",
            "telephone_number": "619-460-1991",
            "fax_number": "619-460-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 F St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102649",
            "country_code": "US",
            "telephone_number": "619-420-4523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYGADA-RABANAL",
        "first_name": "PATRICIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ramirez
• Penny Randazzo
• Ashti T Rasoul
• Lulua Nadia Rawwas, MD
• Raygada & Rabanal DDS Inc.
• Ready Transportation LLC
• Chrystal Reed
• Bennelle James Reese
• Regency Eye Care, Inc.
• Jaclyn Reid, IDC

• General Practice Dentistry in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.