Active NPI
Rafik Riad, DDS
- Dentist
- Poway, CA
National Provider Identifier
1497151203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63384
- Practice address
- 12411 Poway Rd Ste 101
Poway, CA 92064-4322 - Phone
- (626) 626-3613
- NPI assigned
- Nov 6, 2014
- Last updated
- Aug 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63384 | CA | Primary |
Addresses
Primary practice location
12411 Poway Rd Ste 101
Poway, CA 92064-4322
Mailing address
12411 Poway Rd Ste 101
Poway, CA 92064-4322
Phone (626) 626-3613
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63384 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafik Riad DDS Inc | Current | Accepting new patients |
Locations
12411 Poway Rd
Ste 101
Poway, CA 92064
Phone (626) 626-3613
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1497151203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 POWAY RD STE 101",
"city": "POWAY",
"state": "CA",
"postal_code": "920644322",
"telephone_number": "626-626-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 POWAY RD STE 101",
"city": "POWAY",
"state": "CA",
"postal_code": "920644322",
"telephone_number": "626-626-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIAD",
"first_name": "RAFIK",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-06",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63384",
"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 Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.