Individual provider Active NPI

Rola Rabah, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
National Provider Identifier
1699249086
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
108607 Issued in CA
Practice address
7551 Timberlake Way Ste 120
Sacramento, CA 95823-5421
Phone
(916) 423-4092
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 108607 CA Primary

Addresses

Primary practice location

7551 Timberlake Way Ste 120
Sacramento, CA 95823-5421

Mailing address

7551 Timberlake Way Ste 120
Sacramento, CA 95823-5421
Phone (916) 806-7966

Other practice location 1

2503 K St
Sacramento, CA 95816-5101
Phone (916) 448-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20200109000646 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183059744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fouladi Professional Dental Corp. Oral and Maxillofacial Surgery CurrentSince Sep 17, 2023 Accepting new patients

Locations

7551 Timberlake Way
Ste 120
Sacramento, CA 95823
Phone (916) 423-4092

Interoperability endpoints

  • Direct secure messaging: rrabah771451@hisp.ehr.sutterhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1699249086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235421",
            "telephone_number": "916-806-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235421",
            "telephone_number": "916-423-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 K St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165101",
            "country_code": "US",
            "telephone_number": "916-448-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABAH",
        "first_name": "ROLA",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "108607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.