Ragini Porwal, D.D.S.
Individual provider Active NPI General Practice Dentistry · Discovery Bay, CA
NPI 1265688147 · NPPES record last updated Sep 22, 2019
Key facts
- NPI
- 1265688147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 57493 (CA)
- Practice address
- 14850 Highway 4 Ste B
Discovery Bay, CA 94505-2237 - Phone
- (925) 634-5353
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57493 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. S. Atwal, DDS a Prof. Dental Corp | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57493 | CA | Yes |
Addresses
Primary practice location
14850 Highway 4 Ste B
Discovery Bay, CA 94505-2237
Mailing address
330 Parnassus Ave Apt 307
San Francisco, CA 94117-3752
Phone (415) 242-5657
Other providers in Discovery Bay, CA
- Michael William Olff
- Bobbie Jo Parcasio
- Catherine Pham
- Pierce Chiropractic Group Inc
- Richard Wayne Pierce Jr.
- Stephen M Riggio
- Safeway Inc
- Rimple Sandhu
- Spiritual Psychologist PC
- Jennifer Storm-Alves
All providers in Discovery Bay, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.