Active NPI
Rajvinder Singh Walia
- Dentist
- Azusa, CA
National Provider Identifier
1760172654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111558
- Practice address
- 900 W Sierra Madre Ave Apt 122
Azusa, CA 91702-1894 - Phone
- (626) 353-0443
- NPI assigned
- May 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 111558 | CA | Primary |
Addresses
Primary practice location
900 W Sierra Madre Ave Apt 122
Azusa, CA 91702-1894
Mailing address
900 W Sierra Madre Ave Apt 122
Azusa, CA 91702-1894
Phone (626) 353-0443
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111558 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1760172654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W SIERRA MADRE AVE APT 122",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021894",
"telephone_number": "626-353-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W SIERRA MADRE AVE APT 122",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021894",
"telephone_number": "626-353-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIA",
"first_name": "RAJVINDER",
"middle_name": "SINGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-12",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.