Active NPI
Vera Farhoud Raad, DDS
- Dentist
- Glendora, CA
National Provider Identifier
1609160498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43652
- Practice address
- 130 W Route 66
Suite 316
Glendora, CA 91740-6249 - Phone
- (626) 335-7727
- Fax
- (626) 335-7911
- NPI assigned
- Jun 8, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43652 | CA | Primary |
Addresses
Primary practice location
130 W Route 66
Suite 316
Glendora, CA 91740-6249
Mailing address
2611 Willowglen Dr
Duarte, CA 91010-3622
Phone (626) 357-3091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43652 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1609160498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 WILLOWGLEN DR",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103622",
"telephone_number": "626-357-3091",
"fax_number": "626-335-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W ROUTE 66",
"address_2": "SUITE 316",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406249",
"telephone_number": "626-335-7727",
"fax_number": "626-335-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAAD",
"first_name": "VERA",
"middle_name": "FARHOUD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.