S Rabizadeh DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

S RABIZADEH DDS INC

Practice address

1154 E Palmdale Blvd
Palmdale, CA 93550-4866

Phone

(661) 947-2135

Fax

(661) 947-5419

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Rabizadeh

Title

Officer

Phone

(661) 947-2135

Specialties & licenses 2

Addresses

Other names 1

• PALMDALE DENTAL GROUP Doing business as

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1063963213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504866",
            "telephone_number": "661-947-2135",
            "fax_number": "661-947-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504866",
            "telephone_number": "661-947-2135",
            "fax_number": "661-947-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S RABIZADEH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "RABIZADEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "661-947-2135",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMDALE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Ryan Navarro Ruiz, M.D.
• Samantha Karla Ruiz, AGPCNP-C
• Marie Murphy Russell
• Yesenia Janel Ruvalcaba-Venegas
• Rwigema Dental Corporation
• Mayssoun Saab, PHARMD
• Eleisha Lyn Sabo
• Linda Sabo
• Kobina Sakyi Sackey, RN
• Sadek DDS Inc.,

• Dentist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.