Individual provider Active NPI

Sanaz Rafalian, RDHAP

  • Dental Hygienist
  • Los Angeles, CA
National Provider Identifier
1730911090
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1094 Issued in CA
Practice address
10907 Weyburn Ave
Los Angeles, CA 90024-2808
Phone
(310) 801-4050
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1094 CA Primary

Addresses

Primary practice location

10907 Weyburn Ave
Los Angeles, CA 90024-2808

Mailing address

10907 Weyburn Ave
Los Angeles, CA 90024-2808
Phone (310) 801-4050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental Hygiene Practice of Sanazrafalian,Rdhap Dental Hygienist CurrentSince Mar 24, 2025 Accepting new patients

Locations

10907 Weyburn Ave
Los Angeles, CA 90024
Phone (310) 801-4050

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1730911090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 WEYBURN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242808",
            "telephone_number": "310-801-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 WEYBURN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242808",
            "telephone_number": "310-801-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALIAN",
        "first_name": "SANAZ",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.