Mehran a. Raza D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41989 Issued in CA

Legal business name

MEHRAN A. RAZA D.D.S., INC.

Practice address

910 E Ohio Ave
Suite 201
Escondido, CA 92025-3438

Phone

(760) 747-7223

Fax

(760) 747-4288

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mehran A. Raza, D.D.S.NPI 1063558930

Title

President

Phone

(619) 823-7002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mehran A. Raza, D.D.S.

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1063558930
  NPD (past) Authorized official
• Robert Portillo, D.D.S

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1174749097
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1760632038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10369 WESTWARD CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921316152",
            "telephone_number": "619-823-7002",
            "fax_number": "760-747-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E OHIO AVE",
            "address_2": "SUITE 201",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253438",
            "telephone_number": "760-747-7223",
            "fax_number": "760-747-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN A. RAZA D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-823-7002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Medina
• Lauren Medina
• Shasone Lanier Medley-Nunn
• Katie Danielle Medrano, M.A., CCC-SLP
• Liza Megally
• Mehran Raza DDS PSC
• Sanaz Mehryar, PHARMD
• Noopur Mehta, PA-C
• Mek Escondido, LLC
• Vanessa Melchionne

• General Practice Dentistry in Escondido, CA
• Providers in Escondido, 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 Oct 25, 2016; 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.