Alla Rapoport, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48358 Issued in CA

Practice address

7601 Canby Ave
Suite 4
Reseda, CA 91335-2953

Phone

(818) 774-9933

Fax

(818) 774-9939

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1679614234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CANBY AVE",
            "address_2": "SUITE 4",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352953",
            "telephone_number": "818-774-9933",
            "fax_number": "818-774-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CANBY AVE",
            "address_2": "SUITE 4",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352953",
            "telephone_number": "818-774-9933",
            "fax_number": "818-774-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "ALLA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G93289-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-1134685",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "48358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roya Rahimzadeh Moghadam, D.C
• Eduardo Ramirez
• Russell Ramirez
• Bernardino Ramos, NP
• Rapid Care Hospice
• Marguerite Louise Rassiner, RPH
• Lesa Jayne Rastede, R.N., M.S.
• Ravid Avraham M.D., Inc.
• Kimberly Stephanie Recinos
• Zack Reed-Fier, LPCC

• General Practice Dentistry in Reseda, CA
• Providers in Reseda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.