Individual provider Active NPI

Rafidain Raouf, DDS

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1497908164
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43516 Issued in CA
Practice address
14271 Jeffrey Rd
#252
Irvine, CA 92620-3405
Phone
(951) 768-6099
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 43516 CA Primary

Addresses

Primary practice location

14271 Jeffrey Rd
#252
Irvine, CA 92620-3405

Mailing address

14271 Jeffrey Rd.
#252
Irvine, CA 92620
Phone (951) 768-6099

Other names 1

  • Dr. Rafidain Al-Mousawi Former name

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
43516CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1497908164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14271 JEFFREY RD.",
            "address_2": "#252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92620",
            "telephone_number": "951-768-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14271 JEFFREY RD",
            "address_2": "#252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203405",
            "telephone_number": "951-768-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUF",
        "first_name": "RAFIDAIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFIDAIN",
            "last_name": "AL-MOUSAWI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.