NPIMap

Organization Active NPI

Rafik Yanni DDS a Professional Corporation

  • Dental Clinic/Center
  • West Covina, CA
National Provider Identifier
1760623912
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
33004 Issued in CA
Legal business name
RAFIK YANNI DDS A PROFESSIONAL CORPORATION
Practice address
2413 S Azusa Ave
West Covina, CA 91792-1536
Phone
(626) 913-1421
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Dr. Rafik Yanni, DDSNPI 1518047463
Title
President
Phone
(626) 913-1421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 33004 CA Primary

Addresses

Primary practice location

2413 S Azusa Ave
West Covina, CA 91792-1536

Mailing address

2413 S Azusa Ave
West Covina, CA 91792-1536
Phone (626) 913-1421

National Provider Directory

National Provider Directory

Locations

2413 S Azusa Ave
West Covina, CA 91792
Phone (626) 913-1421

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1760623912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921536",
            "telephone_number": "626-913-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921536",
            "telephone_number": "626-913-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIK YANNI DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "YANNI",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-913-1421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.