RAFAELE CAMILLE DESIRE BROOKS (NPI# 1548480791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548480791 |
| Entity Type | Individual |
| Full Name | RAFAELE CAMILLE DESIRE BROOKS |
| Credential | DDS |
| Practice Address |
11633 Hawthorne Blvd #500 Hawthorne CA 90250 |
| Mailing Address |
2554 Lincoln Blvd #743 Venice CA 90291 |
| Practice Telephone | 3106444412 |
| Practice Fax Number | 3106447355 |
| Mailing Telephone | 3108226518 |
| Mailing Fax Number | 3108226518 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 42300 | CA | Dental Providers |
| Street Address |
11633 HAWTHORNE BLVD #500 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025119 | Always Stay Home Nursing Service | Home Health | 11633 Hawthorne Blvd, Suite 220, Hawthorne, CA 90250-2321 | 2005-07-05 |
| 1740722826 | Citycare Homehealth Provider Inc | Home Health | 11633 Hawthorne Blvd, Suite 401, Hawthorne, CA 90250-2321 | 2016-11-07 |
| 1689025538 | Farel A. Rosenberg Dds Inc | Dentist | 11633 Hawthorne Blvd, 500, Hawthorne, CA 90250-2321 | 2016-06-22 |
| 1730534751 | Orthodontics Only | Dentist | 11633 Hawthorne Blvd, Ste. 500, Hawthorne, CA 90250-2321 | 2016-04-27 |
| 1861874398 | Olivia Ghaussy | Nurse Practitioner | 11633 Hawthorne Blvd, Hawthorne, CA 90250-2321 | 2015-06-20 |
| 1346589900 | South Bay Electrophysiology Inc | Internal Medicine | 11633 Hawthorne Blvd, Suite 400, Hawthorne, CA 90250-2321 | 2013-02-01 |
| 1396028700 | Continuity Providers Healthcare Inc. | Home Health | 11633 Hawthorne Blvd, 308, Hawthorne, CA 90250-2321 | 2011-09-21 |
| 1134377856 | Hala A.ahmed Al-shawe | Dentist | 11633 Hawthorne Blvd, #502, Hawthorne, CA 90250-2321 | 2008-09-06 |
| 1356531297 | Ali M. Awada M.d. Inc. | Pediatrics | 11633 Hawthorne Blvd, 100, Hawthorne, CA 90250-2321 | 2007-07-26 |
| 1447465976 | Collins Benye | Psychologist | 11633 Hawthorne Blvd, 210, Hawthorne, CA 90250-2321 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692967 | Marina Stepanyan Dds Inc | Dentist | 13416 Hawthorne Blvd Ste B, Hawthorne, CA 90250-5820 | 2020-06-02 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1427401207 | Adam Rauzman D.d.s. | Dentist | 164 Warburton Ave, Hawthorne, NJ 07506-2552 | 2016-07-18 |
| 1093186652 | Linda Anyanwu | Dentist | 3754 W 118th St, Hawthorne, CA 90250-3231 | 2015-10-08 |
| 1578795167 | Marian Karam Abdalla | Dentist | 13749 Cordary Ave, Hawthorne, CA 90250-7410 | 2009-08-14 |
| 1932398096 | Ruth Veloso | Dentist | 4234 W El Segundo Blvd, Hawthorne, CA 90250-4518 | 2007-10-15 |
| 1447440482 | Sorour D.m.d, P.c | Dentist | 13340 Hawthorne Blvd, Hawthorne, CA 90250-5805 | 2007-07-26 |
| 1396952552 | Polina Cherkez | Dentist | 540 Lafayette Ave, Hawthorne, NJ 07506-2448 | 2007-05-17 |
| 1558574970 | Ritesh Shah | Dentist | 354 Lincoln Ave, Hawthorne, NJ 07506-1200 | 2007-05-08 |
| 1386866259 | Orli Yadidi | Dentist | 13412 Inglewood Ave, Hawthorne, CA 90250 | 2007-05-02 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.