Individual provider Active NPI

Rahij Obid

  • Dentist
  • Paramount, CA
National Provider Identifier
1992289581
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103167 Issued in CA
Practice address
14525 Lakewood Blvd Ste a
Paramount, CA 90723-3638
Phone
(562) 205-8091
NPI assigned
Sep 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103167 CA Primary

Addresses

Primary practice location

14525 Lakewood Blvd Ste a
Paramount, CA 90723-3638

Mailing address

1816 Baywood Dr Apt 202
Corona, CA 92881-6447
Phone (818) 818-7412

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513001433 CA Practitioner - Oral Surgery 5890172803 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Smile Dental and Orthodontics Office of Dr Rahij Obid CurrentSince Mar 8, 2022 Accepting new patients
Dr Smile Dental and Orthodontics Office of Dr Rahij Obid CurrentSince Apr 3, 2022 Accepting new patients
Rahij Obid DDS CurrentSince Feb 4, 2022 Accepting new patients

Locations

2217 S Mountain Ave
Ontario, CA 91762
Phone (909) 395-5090

4955 Felspar St
Ste K
Riverside, CA 92509
Phone (951) 681-8175

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1992289581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 BAYWOOD DR APT 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816447",
            "telephone_number": "818-818-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 LAKEWOOD BLVD STE A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907233638",
            "telephone_number": "562-205-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBID",
        "first_name": "RAHIJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.