Active NPI
Andrew Rastegar DDS Inc
- Oral and Maxillofacial Surgery Clinic/Center
- Cathedral City, CA
National Provider Identifier
1558932111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Rastegar, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Cathedral City, CA
- NPI 1316904832
-
- Dentist
- Cathedral City, CA
- NPI 1255446084
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.