Organization Active NPI

Safoura Sarafan Rdhap P.C

  • Home Health Agency
  • Poway, CA
National Provider Identifier
1477447845
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFOURA SARAFAN RDHAP P.C
Practice address
14911 La Manda Dr
Poway, CA 92064-2424
Phone
(858) 880-6961
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Ms. Safoura SarafanNPI 1578303376
Title
Rdhap
Phone
(858) 880-6961

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

14911 La Manda Dr
Poway, CA 92064-2424

Mailing address

14911 La Manda Dr
Poway, CA 92064-2424
Phone (858) 880-6961

Other names 1

  • socal mobile dental hygiene Former legal business name

National Provider Directory

National Provider Directory

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1477447845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 LA MANDA DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642424",
            "telephone_number": "858-880-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14911 LA MANDA DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642424",
            "telephone_number": "858-880-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFOURA SARAFAN RDHAP P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "SARAFAN",
        "authorized_official_first_name": "SAFOURA",
        "authorized_official_title_or_position": "RDHAP",
        "authorized_official_telephone_number": "858-880-6961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "socal mobile dental hygiene",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 9, 2025; 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.