Individual provider Active NPI

Rafik Raymond Meserkhani, D.D.S

  • Dentist
  • Glendale, CA
National Provider Identifier
1801004676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45734 Issued in CA
Practice address
633 N Central Ave Ste 204
Glendale, CA 91203-1817
Phone
(818) 549-0994
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45734 CA Primary

Addresses

Primary practice location

633 N Central Ave Ste 204
Glendale, CA 91203-1817

Mailing address

633 N Central Ave Ste 204
Glendale, CA 91203-1817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714001921 CA Practitioner - Oral Surgery 6608241187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45734CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rafik Meserkhani and Yvette Gulesserian D.D.S Inc. Dentist Current Accepting new patients
Chan and Segulyev Dental Corporation Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801004676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N CENTRAL AVE STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N CENTRAL AVE STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031817",
            "telephone_number": "818-549-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESERKHANI",
        "first_name": "RAFIK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.