RAFI BALABANIAN D.D.S.
NPI 1174559025
Dentist - General Practice in Santa Clara, CA

Q: What is Rafi Balabanian's NPI number?

The NPI number for Rafi Balabanian is 1174559025. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Rafi Balabanian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Rafi Balabanian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2006PECOS Enrolled

1961 PRUNERIDGE AVE, SUITE A, SANTA CLARA, CA 95050(408) 985-7234 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rafi Balabanian D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFI BALABANIAN D.D.S. (NPI 1174559025) is an individual general practice provider in Santa Clara, California, licensed in California (38796) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174559025

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRAFI BALABANIANCredential: D.D.S.

Location Address1961 PRUNERIDGE AVE, SUITE ASanta Clara, CA 95050-6575

Mailing Address1961 Pruneridge Ave, Suite ASanta Clara, CA 95050-6575 · (408) 985-7234

Phone(408) 985-7234

Sole ProprietorNo

Enumeration DateJune 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174559025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 38796

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1961 PRUNERIDGE AVE, Santa Clara, CA 95050

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafi Balabanian D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. PARVIZ ZANDIFAR L.AC,PH.D.

Acupuncturist

1961 PRUNERIDGE AVE, STE B-1
SANTA CLARA, CA 95050

Santa Clara County (408) 292-4391

DR. WENDY CHUANG D.C.

Chiropractor

1961 PRUNERIDGE AVE, STE B
SANTA CLARA, CA 95050

Santa Clara County (408) 735-8188

RAVEN ACUPUNCTURE CLINIC, INC.

Acupuncturist

1961 PRUNERIDGE AVE, SUITE B1
SANTA CLARA, CA 95050

Santa Clara County (408) 758-2881

JOCELYN CHIE JACKSON L.AC.

Acupuncturist

1961 PRUNERIDGE AVE, B1
SANTA CLARA, CA 95050

Santa Clara County (408) 758-2881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafi Balabanian's NPI number?

The NPI number for Rafi Balabanian is 1174559025. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Rafi Balabanian located?

Rafi Balabanian practices at 1961 Pruneridge Ave Suite A, Santa Clara, CA 95050. The listed phone number is (408) 985-7234.

What is Rafi Balabanian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Rafi Balabanian enrolled in Medicare?

Yes. Rafi Balabanian is registered in the Medicare PECOS enrollment system.

What insurance does Rafi Balabanian accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Rafi Balabanian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafi Balabanian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.