Rita T. Deragobian DDS, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RITA T. DERAGOBIAN DDS, INC.

Practice address

1435 E Route 66 Ste D
Glendora, CA 91740-3748

Phone

(626) 914-3900

Fax

(626) 914-0019

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Rita Deragobian, DDS

Title

Dentist/Owner

Phone

(626) 914-3900

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guadalipe N Corder, DDS INC

  • General Practice Dentistry
  • Glendora, CA
  • NPI 1386829927
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1295227288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 E ROUTE 66 STE D",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403748",
            "telephone_number": "626-914-3900",
            "fax_number": "626-914-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 E ROUTE 66 STE D",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403748",
            "telephone_number": "626-914-3900",
            "fax_number": "626-914-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA T. DERAGOBIAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "DERAGOBIAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "626-914-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Right Choice a Health Care Service Company,Inc.
• Lina Marcela Rios Restrepo, FNP
• Beatriz Arroyo Rios
• Corinne Rios
• Jennifer Rae Branch Rios, RDH
• Christine Mary Rivera, RPH
• Irma Rivera, MFTI
• Mark Steven Rivera
• Asim Arif Rizvi, MD
• RJDJ Hospice Care, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Glendora, CA
• Providers in Glendora, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.