Active NPI
Evolution Dental PC
- General Practice Physician
- Rialto, CA
National Provider Identifier
1558203273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- EVOLUTION DENTAL PC
- Practice address
- 941 W Foothill Blvd
Rialto, CA 92376-4740 - Phone
- (909) 990-0018
- NPI assigned
- Apr 9, 2026
- Last updated
- Apr 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rafael Pou, DDS
- Title
- Dentist
- Phone
- (909) 990-0018
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
941 W Foothill Blvd
Rialto, CA 92376-4740
Mailing address
941 W Foothill Blvd
Rialto, CA 92376-4740
Phone (909) 990-0018
National Provider Directory
National Provider DirectoryLocations
941 W Foothill Blvd
Rialto, CA 92376
Phone (909) 820-5062
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.
-
- Dentist
- La Habra, CA
- NPI 1396102190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1558203273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764740",
"telephone_number": "909-990-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764740",
"telephone_number": "909-990-0018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLUTION DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "POU",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "909-990-0018",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.