Edmond Rassibi, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54596 Issued in CA

Practice address

21712 Sherman Way
Canoga Park, CA 91303-1931

Phone

(818) 883-6634

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edmond Rassibi, D.M.D., Professional Corporation

  • Dentist
  • Canoga Park, CA
  • NPI 1346633716
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1265571350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21712 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031931",
            "telephone_number": "818-883-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21712 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031931",
            "telephone_number": "818-883-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSIBI",
        "first_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "D54596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Ramos Ortega
• Linda Ramos
• Cynthia Randle
• Devon Rane
• Yolanda Rangel
• Breanna Rauda Oliva
• Ray of Sun Hospice Care, Inc.
• Ray Sunnetic Home Health Care, Inc.
• Sofia Razo
• Samantha Recalde

• General Practice Dentistry in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.