Raj Bhupendra Lotwala, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

56847 Issued in CA

Practice address

150 Tejas PL
Nipomo, CA 93444-9123

Phone

(805) 931-2653

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1184812984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361882",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950361882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TEJAS PL",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449123",
            "telephone_number": "805-931-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTWALA",
        "first_name": "RAJ",
        "middle_name": "BHUPENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Renee Lauridsen
• Sonia Patricia Lazaro, DMD
• Henry Lee, M.D
• Janghwan Lee, RPH
• Patricia Anne Lipscomb, M.D., PH.D.
• Valerie A Lyon, DC
• Lyons Pride Chiropractic Inc.
• Kathleen A Macmahon, NP
• Lorena Magen, LCSW
• Owen Charles Martin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.