Active NPI
Anu Rajasekaran, DMD.PC.
- Dentist
- Poway, CA
National Provider Identifier
1386004497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- CA45313
- Legal business name
- ANU RAJASEKARAN, DMD.PC.
- Practice address
- 12630 Monte Vista Rd Ste 103
Poway, CA 92064-2526 - Phone
- (858) 755-7474
- NPI assigned
- Mar 2, 2016
- Last updated
- Oct 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anu R Rajasekaran, DMD
- Title
- President
- Phone
- (858) 755-7474
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | CA45313 | CA | Primary |
Addresses
Primary practice location
12630 Monte Vista Rd Ste 103
Poway, CA 92064-2526
Mailing address
12068 Daymark CT
San Diego, CA 92131-3801
Phone (858) 449-2255
National Provider Directory
National Provider DirectoryLocations
957 Lomas Santa Fe Dr
Solana Beach, CA 92075
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Poway, CA
- NPI 1598986978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601596800000",
"number": "1386004497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12068 DAYMARK CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313801",
"telephone_number": "858-449-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12630 MONTE VISTA RD STE 103",
"city": "POWAY",
"state": "CA",
"postal_code": "920642526",
"telephone_number": "858-755-7474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANU RAJASEKARAN, DMD.PC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A",
"authorized_official_last_name": "RAJASEKARAN",
"authorized_official_first_name": "ANU",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-755-7474",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "CA45313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.