Active NPI
Lina Raffo, DMD
- General Practice Dentistry
- El Cajon, CA
National Provider Identifier
1821600388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105319
- Practice address
- 1185 Persimmon Ave Apt 7
El Cajon, CA 92021-4872 - Phone
- (619) 277-5285
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105319 | CA | Primary |
Addresses
Primary practice location
1185 Persimmon Ave Apt 7
El Cajon, CA 92021-4872
Mailing address
1185 Persimmon Ave Apt 7
El Cajon, CA 92021-4872
Phone (619) 277-5285
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 |
|---|---|---|---|
| 105319 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1821600388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 PERSIMMON AVE APT 7",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214872",
"telephone_number": "619-277-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 PERSIMMON AVE APT 7",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214872",
"telephone_number": "619-277-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFO",
"first_name": "LINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.