Active NPI
Raha Baghbanian, DDS
- Dentist
- Mission Viejo, CA
National Provider Identifier
1811594096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 105487 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Lorenz Dental Corporation | Current | Accepting new patients | |
| Jamal Dental Corporation | Dentist | Past | Accepting new patients |
| Akhavan Dental Corporation | Past | Accepting new patients | |
| Stephen W. Clark, DDS Inc. | Past | Accepting new patients | |
| Nader D. Ghiassi DDS Inc | Dentist | Past | 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.
-
- Dental Clinic/Center
- Long Beach, CA
- NPI 1871217349
-
dba Popup Smiles
- General Practice Dentistry
- Newport Beach, CA
- NPI 1457151664
-
- Dentist
- San Juan Capistrano, CA
- NPI 1871839704
-
dba Spring Dental Group
- General Practice Dentistry
- Long Beach, CA
- NPI 1316301500
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.