Kamran Rafie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40298 Issued in CA

Practice address

21150 Hawthorne Blvd Ste 101
Torrance, CA 90503-4617

Phone

(310) 371-0777

Fax

(310) 861-8882

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1730107301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17656 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445601",
            "telephone_number": "818-363-0200",
            "fax_number": "310-861-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 HAWTHORNE BLVD STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034617",
            "telephone_number": "310-371-0777",
            "fax_number": "310-861-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17656 Chatsworth St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445601",
            "country_code": "US",
            "telephone_number": "818-363-0200",
            "fax_number": "108-618-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFIE",
        "first_name": "KAMRAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken H Radomski
• Natalie Michelle Radovich
• Robert A Rafael, M.D.
• Wendy Lorraine Rafferty
• Rafie & Khoshbin Dental Corp
• Dina T Ragab, MD
• Bhupala H. B. Raghavender, M.D.
• Vivek Raghavender, PSY.D.
• Rasha Ragheb
• Julie Fernandez Ragudo, RN

• General Practice Dentistry in Torrance, CA
• Providers in Torrance, 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 May 14, 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.

Verify at the official NPI Registry.