Active NPI
Maher Rifai
- Dentist
- South Gate, CA
National Provider Identifier
1073206215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113273
- Practice address
- 5720 Imperial Hwy Ste N-O
South Gate, CA 90280-7518 - Phone
- (323) 776-1500
- NPI assigned
- Jun 1, 2023
- Reactivated
- Jul 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 113273 | CA | Primary |
Addresses
Primary practice location
5720 Imperial Hwy Ste N-O
South Gate, CA 90280-7518
Mailing address
11612 Culver Blvd Apt 309
Los Angeles, CA 90066-3859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1073206215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11612 CULVER BLVD APT 309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 IMPERIAL HWY STE N-O",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902807518",
"telephone_number": "323-776-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFAI",
"first_name": "MAHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"deactivation_date": "2026-07-21",
"reactivation_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.