Individual provider Active NPI

Rachel Ngai, DMD

  • General Practice Dentistry
  • Menifee, CA
National Provider Identifier
1285287011
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104024 Issued in CA
Practice address
29950 Haun Rd Ste 302
Menifee, CA 92586-6527
Phone
(951) 679-1667
NPI assigned
Jul 21, 2019
Last updated
Jul 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104024 CA Primary

Addresses

Primary practice location

29950 Haun Rd Ste 302
Menifee, CA 92586-6527

Mailing address

13208 Myford Rd Apt 341
Tustin, CA 92782-9113
Phone (646) 552-6942

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191016003170 CA Order and Referring Only - DentistPractitioner - Dentist 7012248420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104024CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1285287011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13208 MYFORD RD APT 341",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829113",
            "telephone_number": "646-552-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD STE 302",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866527",
            "telephone_number": "951-679-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGAI",
        "first_name": "RACHEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.