Manoj Rastogi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

52458 Issued in CA

Practice address

501 Anita St Apt 204
Redondo Beach, CA 90278-4757

Phone

(310) 709-5960

NPI assigned

Jan 6, 2011

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

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

Practice roles

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.

• Lakewood Cerritos Dental Center

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1164979944
  NPD (past)
• Lakewood Cerritos Dental CTRS

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1407124290
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1912201831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131067",
            "telephone_number": "562-804-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ANITA ST APT 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784757",
            "telephone_number": "310-709-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Ranyard, M.A.
• Steven Mark Rapaport, M.D.
• Rare Bird Wellness
• Nasim Rassouli
• Sormeh Rastegar Panah, DDS
• Re Nu Mi Wellness Center, Inc.
• Kelli Rea, LMFT
• Reach Beyond Therapy Inc
• Rebecca Salamo MD Inc
• George Joseph Rederich, M.D.

• Dentist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.