Individual provider Active NPI

Rubina Khorana, DDS

  • Dentist
  • Woodland, CA
National Provider Identifier
1720531973
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100372 Issued in CA
Practice address
2041 Bronze Star Dr
Ste 100
Woodland, CA 95776-5427
Phone
(530) 662-7592
NPI assigned
Jul 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100372 CA Primary

Addresses

Primary practice location

2041 Bronze Star Dr
Ste 100
Woodland, CA 95776-5427

Mailing address

2041 Bronze Star Dr
Ste 100
Woodland, CA 95776-5427

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170331001672 CA Order and Referring Only - DentistPractitioner - Dentist 1355626482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gill and Ghazal Dental Corporation Past Accepting new patients

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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1720531973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 BRONZE STAR DR",
            "address_2": "STE 100",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BRONZE STAR DR",
            "address_2": "STE 100",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765427",
            "telephone_number": "530-662-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORANA",
        "first_name": "RUBINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.