Active NPI
Safia Rauf, DDS
- General Practice Dentistry
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7896
- Practice address
- 290 N Wayte LN Ste 2500
Fresno, CA 93701-2124 - Phone
- (559) 459-5725
- NPI assigned
- May 22, 2023
- Last updated
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7896 | NE | Primary |
Addresses
Primary practice location
290 N Wayte LN Ste 2500
Fresno, CA 93701-2124
Mailing address
1506 N Piccadilly LN
Clovis, CA 93619-8018
Phone (402) 378-6490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2915 Grant St
Omaha, NE 68111-3863
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7896 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Drew Health Center, Inc. | Current | Accepting new patients | |
| Charles Drew Health Center, Inc | Current | Accepting new patients | |
| Charles Drew Health Center Inc | Past | Accepting new patients |
Locations
2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Charles Drew Health Center, Inc at Grant Street
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1255302170
-
dba Charles Drew Health Center Inc at Benson SBHC
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1215767421
-
dba Charles Drew Health Center Inc Mobile Medical
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1386218212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1235821182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 N PICCADILLY LN",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936198018",
"telephone_number": "402-378-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 N WAYTE LN STE 2500",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012124",
"telephone_number": "559-459-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUF",
"first_name": "SAFIA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "7896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.