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

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

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.

• Ruben Mora DDS, PC

  dba Fourth & Floss

  • 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.