Active NPI
Galya Raz, DMD, a Professional Dental Corporation
- Periodontics
- Poway, CA
National Provider Identifier
1811537772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- GALYA RAZ, DMD, A PROFESSIONAL DENTAL CORPORATION
- Practice address
- 15708 Pomerado Rd # N104
Poway, CA 92064-2066 - Phone
- (858) 485-1108
- Fax
- (858) 485-1426
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Galya Raz, DMD
- Title
- Officer
- Phone
- (858) 775-4366
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
15708 Pomerado Rd # N104
Poway, CA 92064-2066
Mailing address
5146 Maynard St
San Diego, CA 92122-3946
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@brucejohnsondmd.com | Bruce W. Johnson, D.M.D., APDC |
National Provider Directory
National Provider DirectoryLocations
15708 Pomerado Rd
#N104
Poway, CA 92064
Phone (858) 485-1108
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1811537772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5146 MAYNARD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15708 POMERADO RD # N104",
"city": "POWAY",
"state": "CA",
"postal_code": "920642066",
"telephone_number": "858-485-1108",
"fax_number": "858-485-1426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALYA RAZ, DMD, A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2023-11-27",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "RAZ",
"authorized_official_first_name": "GALYA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "858-775-4366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@brucejohnsondmd.com",
"affiliation": "Y",
"endpointDescription": "Office Location Email",
"affiliationName": "Bruce W. Johnson, D.M.D., APDC",
"address_1": "15708 Pomerado Rd # N104",
"city": "Poway",
"state": "CA",
"country_code": "US",
"postal_code": "920642066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.