Active NPI
Raffie Garabedian, DMD, MS
- Periodontics
- Glendale, CA
National Provider Identifier
1841710316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 101453
- Practice address
- 1000 N Central Ave Ste 130
Glendale, CA 91202-3686 - Phone
- (818) 588-0440
- NPI assigned
- Jun 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 101453 | CA | |
| Periodontics | 1223P0300X | 101453 | CA | Primary |
Addresses
Primary practice location
1000 N Central Ave Ste 130
Glendale, CA 91202-3686
Mailing address
1055 Ruberta Ave Apt 1
Glendale, CA 91201-2195
Phone (818) 588-0440
Other practice location 1
925 W 34th St
Los Angeles, CA 90089-0058
Phone (818) 588-0440
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200604000443 | CA | Practitioner - Oral Surgery | 3274954904 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garabedian Dental Group Inc | Current | Accepting new patients | |
| Garabedian DDS, Inc. | Current | Accepting new patients | |
| Vinod G. Rana, DDS., Inc | General Practice | Past | Accepting new patients |
Locations
23595 Moulton Pkwy
Ste I
Laguna Hills, CA 92653
Phone (949) 317-3197
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Glendale, CA
- NPI 1770107252
-
dba Brookhurst Dental Group
- General Practice Dentistry
- Garden Grove, CA
- NPI 1295920569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1841710316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RUBERTA AVE APT 1",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012195",
"telephone_number": "818-588-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N CENTRAL AVE STE 130",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023686",
"telephone_number": "818-588-0440"
}
],
"practiceLocations": [
{
"address_1": "925 W 34th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900890058",
"country_code": "US",
"telephone_number": "818-588-0440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARABEDIAN",
"first_name": "RAFFIE",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "101453",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "101453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.