Raees Golwalla, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42070 Issued in TX

Practice address

2552 Freeborn St
Duarte, CA 91010-1326

Phone

(323) 236-0306

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1821786492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 FREEBORN ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101326",
            "telephone_number": "323-236-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 FREEBORN ST",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101326",
            "telephone_number": "323-236-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLWALLA",
        "first_name": "RAEES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42070",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011834",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juana Godinez
• Gold Path, Inc.
• Lior Goldberg, MD
• Scott Ryan Goldsmith, MD
• Kourosh Golestany, MD
• Feryal Golzary Pour, AGACNP-BC
• Adriana Gomez
• Steven Gonzales, AGACNP-BC
• Andres Corali Gonzalez
• John Michael Gonzalez

• General Practice Dentistry in Duarte, CA
• Providers in Duarte, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.