Organization Active NPI

Andrew Rastegar DDS Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Cathedral City, CA
National Provider Identifier
1558932111
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
ANDREW RASTEGAR DDS INC
Practice address
37086 Cathedral Canyon Dr
Cathedral City, CA 92234-1877
Phone
(760) 328-3827
Fax
(760) 328-4778
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Andrew Rastegar, DDSNPI 1316904832
Title
Owner
Phone
(760) 328-3827

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

37086 Cathedral Canyon Dr
Cathedral City, CA 92234-1877

Mailing address

37086 Cathedral Canyon Dr
Cathedral City, CA 92234-1877
Phone (760) 328-3827

National Provider Directory

National Provider Directory

Locations

37086 Cathedral Canyon Dr
Cathedral Cty, CA 92234
Phone (323) 628-1662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1558932111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37086 CATHEDRAL CANYON DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922341877",
            "telephone_number": "760-328-3827",
            "fax_number": "760-328-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37086 CATHEDRAL CANYON DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922341877",
            "telephone_number": "760-328-3827",
            "fax_number": "760-328-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW RASTEGAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-328-3827",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.