Nathan Rabizadeh, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

102938 Issued in CA

Practice address

29219 Canwood St Ste 250
Agoura Hills, CA 91301-1591

Phone

(183) 503-3288

NPI assigned

Apr 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nathan Rabizadeh DDS, Inc

  • Dental Clinic/Center
  • Agoura Hills, CA
  • NPI 1144015140
  NPD Authorized official

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1063900868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29219 CANWOOD ST STE 250",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011591",
            "telephone_number": "818-350-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29219 CANWOOD ST STE 250",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011591",
            "telephone_number": "183-503-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908225201",
            "country_code": "US",
            "telephone_number": "562-826-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABIZADEH",
        "first_name": "NATHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Wellness Center Inc
• Purposeful Pathways Family Therapy, Inc
• Julia Puzikova
• Michael James Quinn
• Douglas Quon, MAT, ATC
• Jonathan Raymond Rackley, LMFT
• Shaghaegh Rahimi
• Rekha Raja, D.O.
• Rajiv Kumar MD Inc
• Heather Ramsey, PPS

• Dentist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.