Organization Active NPI

Raygada & Rabanal DDS Inc.

  • Dentist
  • Lemon Grove, CA
National Provider Identifier
1942540943
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50976 Issued in CA
Legal business name
RAYGADA & RABANAL DDS INC.
Practice address
7733 Palm St Ste 107
Lemon Grove, CA 91945-2967
Phone
(619) 460-1991
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Mr. Javier Raygada, DDS
Title
President
Phone
(619) 948-8953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50976 CA Primary

Addresses

Primary practice location

7733 Palm St Ste 107
Lemon Grove, CA 91945-2967

Mailing address

7733 Palm St Ste 107
Lemon Grove, CA 91945-2967
Phone (619) 460-1991

Other names 1

  • Palm Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

7733 Palm St
Ste 107
Lemon Grove, CA 91945
Phone (619) 460-1991

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1942540943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 PALM ST STE 107",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452967",
            "telephone_number": "619-460-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 PALM ST STE 107",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919452967",
            "telephone_number": "619-460-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYGADA & RABANAL DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "RAYGADA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-948-8953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.