NPIMap

Organization Active NPI

A. Alex Rajabi, DDS, Inc.

Doing business as Portola Dental

  • General Practice Dentistry
  • Foothill Ranch, CA
National Provider Identifier
1760829469
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48667 Issued in CA
Legal business name
A. ALEX RAJABI, DDS, INC.
Doing business as
Portola Dental
Practice address
26730 Towne Centre Dr Ste 101
Foothill Ranch, CA 92610-2857
Phone
(949) 916-4500
Fax
(949) 916-4544
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Abbas Rajabi, DDSNPI 1205934346
Title
President
Phone
(949) 916-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 48667 CA Primary

Addresses

Primary practice location

26730 Towne Centre Dr Ste 101
Foothill Ranch, CA 92610-2857

Mailing address

26730 Towne Centre Dr Ste 101
Foothill Ranch, CA 92610-2857
Phone (949) 916-4500

Other names 1

  • PORTOLA DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1760829469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 101",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102857",
            "telephone_number": "949-916-4500",
            "fax_number": "949-916-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26730 TOWNE CENTRE DR STE 101",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102857",
            "telephone_number": "949-916-4500",
            "fax_number": "949-916-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. ALEX RAJABI, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "RAJABI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-916-4500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTOLA DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.