Individual provider Active NPI

Rana Ghazala, DMD

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1457084584
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108232 Issued in CA
Practice address
718 W Washington St
San Diego, CA 92103-1938
Phone
(619) 699-9008
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108232 CA Primary

Addresses

Primary practice location

718 W Washington St
San Diego, CA 92103-1938

Mailing address

1447 Montana Serena CT
El Cajon, CA 92021-2764
Phone (201) 838-1150

Other practice location 1

1305 Smyrna Ln
Lexington, KY 40513-1754
Phone (201) 838-1150

Other practice location 2

1447 Montana Serena Ct
El Cajon, CA 92021-2764
Phone (201) 838-1150

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108232CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Babak Ariannejad and Lance Rygg Dental Corporation PastSince Dec 18, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1457084584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MONTANA SERENA CT",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212764",
            "telephone_number": "201-838-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031938",
            "telephone_number": "619-699-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Smyrna Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131754",
            "country_code": "US",
            "telephone_number": "201-838-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1447 Montana Serena Ct",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920212764",
            "country_code": "US",
            "telephone_number": "201-838-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZALA",
        "first_name": "RANA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.