Individual provider Active NPI

Alyssa Loren Rifilato, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1316676174
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61538300 Issued in WA
Practice address
2630 1St Ave
San Diego, CA 92103-6599
Phone
(619) 234-2158
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 205316116 CA
Dentist 122300000X DE61538300 WA
General Practice Dentistry 1223G0001X DE61538300 WA Primary

Addresses

Primary practice location

2630 1St Ave
San Diego, CA 92103-6599

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alyssarif@ucla.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Univ of Calif, Los Angeles School of Dentistry, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM 2673 Unit
Suite 146
Canyon Lake, TX 78133-4765

2630 1St Ave
Suite 211
San Diego, CA 92103-6528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
205316116CAMDDentist
DE61538300WAMDDentist

Interoperability endpoints

  • Direct secure messaging: arifilato808753@direct.multicare.org

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1316676174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036599",
            "telephone_number": "619-234-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFILATO",
        "first_name": "ALYSSA",
        "middle_name": "LOREN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "205316116",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61538300",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61538300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alyssarif@ucla.edu",
            "affiliation": "N",
            "endpointDescription": "Dental School Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "886 Forbes Dr",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928217306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.