Individual provider Active NPI

Rajiv Garg, D.D.S.

  • General Practice Dentistry
  • Hemet, CA
National Provider Identifier
1053575183
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57223 Issued in CA
Practice address
1284 E Latham Ave
Suite 5
Hemet, CA 92543-4445
Phone
(951) 929-0300
Fax
(951) 929-0335
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57223 CA Primary

Addresses

Primary practice location

1284 E Latham Ave
Suite 5
Hemet, CA 92543-4445

Mailing address

1284 E Latham Ave
Suite 5
Hemet, CA 92543-4445
Phone (951) 929-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110003015 CA Order and Referring Only - DentistPractitioner - Dentist 6406007731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Garg DDS Inc General Practice CurrentSince Aug 17, 2012 Accepting new patients

Locations

1284 E Latham Ave
Ste 5
Hemet, CA 92543
Phone (951) 929-0300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1053575183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 E LATHAM AVE",
            "address_2": "SUITE 5",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-929-0300",
            "fax_number": "951-929-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 E LATHAM AVE",
            "address_2": "SUITE 5",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-929-0300",
            "fax_number": "951-929-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "RAJIV",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.