Active NPI
Anu R Rajasekaran, DMD
- General Practice Dentistry
- Poway, CA
National Provider Identifier
1598986978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45313
- Practice address
- 12630 Monte Vista Rd Ste 103
Poway, CA 92064-2526 - Phone
- (858) 755-7474
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45313 | CA | Primary |
Addresses
Primary practice location
12630 Monte Vista Rd Ste 103
Poway, CA 92064-2526
Mailing address
12068 Daymark CT
San Diego, CA 92131-3801
Phone (858) 449-2255
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anu Rajasekaran, DMD.PC. | Dentist | Current | Accepting new patients |
Locations
12630 Monte Vista Rd
Ste 103
Poway, CA 92064
Phone (585) 451-1772
957 Lomas Santa Fe Dr
Solana Beach, CA 92075
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Poway, CA
- NPI 1386004497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1598986978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12068 DAYMARK CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313801",
"telephone_number": "858-449-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12630 MONTE VISTA RD STE 103",
"city": "POWAY",
"state": "CA",
"postal_code": "920642526",
"telephone_number": "858-755-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJASEKARAN",
"first_name": "ANU",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.