Organization Active NPI

Alejandra B Raftacco DDS a Professional Dental Corporation

Doing business as Raibow Dental Health Care

  • Dental Clinic/Center
  • Panorama City, CA
National Provider Identifier
1780490292
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEJANDRA B RAFTACCO DDS A PROFESSIONAL DENTAL CORPORATION
Doing business as
Raibow Dental Health Care
Practice address
14074 Osborne St
Panorama City, CA 91402-2602
Phone
(818) 810-0050
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Alejandra Beatriz Raftacco, DDSNPI 1790412336
Title
Owner / Dentist
Phone
(818) 422-7181

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 NU Primary

Addresses

Primary practice location

14074 Osborne St
Panorama City, CA 91402-2602

Mailing address

14074 Osborne St
Panorama City, CA 91402-2602
Phone (818) 810-0050

Other names 1

  • Raibow Dental Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

14074 Osborne St
Panorama City, CA 91402
Phone (818) 810-0050

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": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1780490292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 OSBORNE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022602",
            "telephone_number": "818-810-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 OSBORNE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022602",
            "telephone_number": "818-810-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRA B RAFTACCO DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "RAFTACCO",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_middle_name": "BEATRIZ",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "818-422-7181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raibow Dental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.