Farhoud Rastegar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42597 Issued in CA

Practice address

1450 Frazee Rd
209
San Diego, CA 92108-4337

Phone

(619) 574-6678

Fax

(619) 574-6680

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295875565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FRAZEE RD",
            "address_2": "209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084337",
            "telephone_number": "619-574-6678",
            "fax_number": "619-574-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FRAZEE RD",
            "address_2": "209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084337",
            "telephone_number": "619-574-6678",
            "fax_number": "619-574-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTEGAR",
        "first_name": "FARHOUD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misa C Rasmussen
• Sarah Rasmussen
• Gloria F Rasmuzzen
• Ariana Renee Rasnake
• Lillian Rasooli-Zadehei
• Michael Ratajac, PT, DPT
• Natasha Ratajczak, DPT
• Harkaranveer S Ratanpal, DO
• Tracy Ratermann, PH.D.
• Rhiannon Rath

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.