Rafael P. Sustento

Primary specialty

DentistTaxonomy code 122300000X

License

37168 Issued in CA

Legal business name

RAFAEL P. SUSTENTO

Practice address

23206 Lyons Ave Ste 208
Newhall, CA 91321-2672

Phone

(661) 799-9828

Fax

(661) 799-9823

NPI assigned

Feb 21, 2008

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Poblete Sustento, D.D.S.NPI 1093855264

Title

Owner

Phone

(661) 799-9828

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Rafael Poblete Sustento, D.D.S.

  • General Practice Dentistry
  • Newhall, CA
  • NPI 1093855264
  NPD (past) Authorized official

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1568631745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 208",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212672",
            "telephone_number": "661-799-9828",
            "fax_number": "661-799-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 208",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212672",
            "telephone_number": "661-799-9828",
            "fax_number": "661-799-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL P. SUSTENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "SUSTENTO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "POBLETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-799-9828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B37168-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrin David Privett, M.D.
• Ellsworth Paxton Pryor, M.D
• Harold E Quan
• Michael Gin Quon, M.D.
• Rachael Parsons Svendsen
• Rafik Meserkhani and Yvette Gulesserian D.D.S Inc.
• Kya H Rairdon
• Katherine Ralph, ACSW
• Charo Ramirez
• Marylu Ramos

• Dentist in Newhall, CA
• Providers in Newhall, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.