A. Alex Rajabi, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48667 Issued in CA

Legal business name

A. ALEX RAJABI, DDS, INC.

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

Organization subpart

No

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

Authorized official

Name

Abbas Rajabi, DDS

Title

President

Phone

(949) 916-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PORTOLA DENTAL Doing business as

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "12059-34346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTOLA DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aava Dental of Foothill Ranch a Mansour Dental Group Inc Rodeo Managem
• Sairah Abbasi, LCSW
• Abc Children'S Clinic Inc.
• Robert William Abrahams, D.C.
• Advanced Surgical Center of Foothill Ranch LLC

• All providers in Foothill Ranch, CA
• General Practice Dentistry in California

• 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.