Scott Rauvola, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40490 Issued in CA

Practice address

2130 4TH Ave
San Diego, CA 92101-2110

Phone

(619) 298-9383

Fax

(619) 294-3622

NPI assigned

Sep 26, 2006

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

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

State licenses

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.

• Ruben Mora DDS, PC

  • Dentist
  • San Diego, CA
  • NPI 1306713862
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275634834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012110",
            "telephone_number": "619-298-9383",
            "fax_number": "619-294-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012110",
            "telephone_number": "619-298-9383",
            "fax_number": "619-294-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUVOLA",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena M Rauh, LCSW
• Elise Rault
• Robyn Melissa Raupe, PHARMD
• Dori N. Rausch-Rafii, M.D.
• Lucie Rautenberg
• Guy A. Ravad, MD
• Chandni Vinay Raval, P.A.
• Lisa Ravalli, MPT
• Amir Ravandi, MD PHD
• Raveen Thekkeurimbil Raviendran, M.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Jul 8, 2007; 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.