Ryan Raouf, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

101405 Issued in CA

Practice address

1007 12TH St
Santa Monica, CA 90403-4205

Phone

(310) 880-5251

NPI assigned

Jun 4, 2016

Last updated

Dec 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1407205040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 12TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034205",
            "telephone_number": "310-880-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 12TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034205",
            "telephone_number": "310-880-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUF",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-04",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "101405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randox Health California, LLC
• Decio Demoura Rangel, MD
• Anmol Rangoola, PA
• Kalyan Naraharisetty Rao, M.D.
• Sangeetha Rao
• Oren Simantov Raphael, MD
• Rapid Relief Rehabilitation, LLC (Rapid Relief)
• Basil Rapoport, M.D.
• Jeffrey Rappleye, M.D.
• Albert Rappoport, C.P.O.

• Endodontics in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.