Alejandra Beatriz Raftacco, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107220 Issued in CA

Practice address

14074 Osborne St
Panorama City, CA 91402-2602

Phone

(818) 810-0050

Fax

(818) 810-0050

NPI assigned

Aug 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alejandra B Raftacco DDS a Professional Dental Corporation

  • Dental Clinic/Center
  • Panorama City, CA
  • NPI 1780490292
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1790412336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18608 KNAPP ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243102",
            "telephone_number": "818-422-7181"
        },
        {
            "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",
            "fax_number": "818-810-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTACCO",
        "first_name": "ALEJANDRA",
        "middle_name": "BEATRIZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Rabiega
• Rosalin R Radbod, PHARM.D.
• Radiant Hospice Care Inc.
• Sina Radparvar, MD
• Mojgan Rafaeloff, MD
• Regina Bianca Ragasa, D.O.
• Munif Rahal, MD
• Abdul Rahman, MD
• Henry C. Raigosa, MD
• Raj Ahluwalia MD Inc

• General Practice Dentistry in Panorama City, CA
• Providers in Panorama City, 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 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.