Organization Active NPI

Mehran Raza DDS PSC

Doing business as Escondido Family Dental Care & Specialty Center

  • General Practice Dentistry
  • Escondido, CA
National Provider Identifier
1073260501
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEHRAN RAZA DDS PSC
Doing business as
Escondido Family Dental Care & Specialty Center
Practice address
910 E Ohio Ave Ste 210
Escondido, CA 92025-3438
Phone
(760) 747-7223
Fax
(760) 747-4288
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Mehran Raza
Title
Owner/Operator
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

910 E Ohio Ave Ste 210
Escondido, CA 92025-3438

Mailing address

910 E Ohio Ave Ste 210
Escondido, CA 92025-3438
Phone (760) 747-7223

Other names 1

  • Escondido Family Dental Care & Specialty Center Doing business as

National Provider Directory

National Provider Directory

Locations

910 E Ohio Ave
Ste 210
Escondido, CA 92025
Phone (760) 747-7223

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1073260501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E OHIO AVE STE 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253438",
            "telephone_number": "760-747-7223",
            "fax_number": "760-747-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E OHIO AVE STE 210",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253438",
            "telephone_number": "760-747-7223",
            "fax_number": "760-747-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN RAZA DDS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escondido Family Dental Care & Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Escondido Family Dental Care & Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.