Rafael E Infante, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45470 Issued in CA

Practice address

13569 Poway Rd
Poway, CA 92064-4715

Phone

(858) 486-3300

Fax

(858) 486-5300

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rafael Infante D.D.S. Inc

  dba Poway Coast Dental

  • Dental Clinic/Center
  • Poway, CA
  • NPI 1730762089
  NPD Authorized official
• J.Lim Dental Corporation

  dba Poway Coast Dental

  • General Practice Dentistry
  • Poway, CA
  • NPI 1801192208
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1881710317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 ALTA VIEW DR",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393394",
            "telephone_number": "619-267-8772",
            "fax_number": "619-475-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13569 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644715",
            "telephone_number": "858-486-3300",
            "fax_number": "858-486-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTE",
        "first_name": "RAFAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eglal Ibrahim, BCBA
• Gladys Ignacio
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• Ellen Wonsun Im, DDS
• Include Autism
• Katrina M Ingham
• Inland North Care Partners LLC
• Inland Valley Surgical Center
• Integrated Post-Acute Care Solutions Inc
• Ludmilla N Ionescu, M.D.

• General Practice Dentistry in Poway, CA
• Providers in Poway, 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 Jun 24, 2020; 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.