Individual provider Active NPI

Raha Baghbanian, DDS

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1811594096
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105487 Issued in CA
Practice address
26137 La Paz Rd Ste 100
Mission Viejo, CA 92691-5325
Phone
(949) 951-1067
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105487 CA Primary

Addresses

Primary practice location

26137 La Paz Rd Ste 100
Mission Viejo, CA 92691-5325

Mailing address

26137 La Paz Rd Ste 100
Mission Viejo, CA 92691-5325

Other practice location 1

31001 Rancho Viejo Rd Ste 115
San Juan Capistrano, CA 92675-8704
Phone (949) 493-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105487CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Lorenz Dental Corporation CurrentSince Aug 6, 2023 Accepting new patients
Jamal Dental Corporation Dentist PastSince Nov 1, 2020 Accepting new patients
Akhavan Dental Corporation Past Accepting new patients
Stephen W. Clark, DDS Inc. PastSince Aug 6, 2023 Accepting new patients
Nader D. Ghiassi DDS Inc Dentist PastSince Mar 1, 2021 Accepting new patients

Locations

5963 E Spring St
Long Beach, CA 90808
Phone (562) 421-8401

Organizations & group practices 5

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1811594096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915325",
            "telephone_number": "949-951-1067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31001 Rancho Viejo Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926758704",
            "country_code": "US",
            "telephone_number": "949-493-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGHBANIAN",
        "first_name": "RAHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.