Organization Active NPI

Anu Rajasekaran, DMD.PC.

  • Dentist
  • Poway, CA
National Provider Identifier
1386004497
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CA45313 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Dr. Anu R Rajasekaran, DMDNPI 1598986978
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.