ALYSSA LOREN RIFILATO DDS
NPI 1316676174
Dentist - General Practice in San Diego, CA
About Alyssa Loren Rifilato Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA LOREN RIFILATO DDS (NPI 1316676174) is an individual general practice provider in San Diego, California, licensed in Washington (DE61538300) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Univ Of Calif, Los Angeles School Of Dentistry (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alyssa Loren Rifilato Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Rifilato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Alyssa Rifilato's NPI number?
The NPI number for Alyssa Rifilato is 1316676174. It was assigned to this individual provider in the NPPES registry on June 7, 2022.
Where is Alyssa Rifilato located?
Alyssa Rifilato practices at 2630 1st Ave, San Diego, CA 92103. The listed phone number is (619) 234-2158.
What is Alyssa Rifilato's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Alyssa Rifilato enrolled in Medicare?
Yes. Alyssa Rifilato is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alyssa Rifilato's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Rifilato reassigns Medicare benefits to San Diego American Indian Health Center (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Rifilato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Rifilato accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Alyssa Rifilato 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 Alyssa Rifilato was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Alyssa Loren Rifilato, DDS · NPI 1316676174
General Practice provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1316676174 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DE61538300 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2630 1ST AVE, San Diego, CA 92103-6599
- **Phone:** (619) 234-2158
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** San Diego American Indian Health Center (NPI 1003902917, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Calif, Los Angeles School Of Dentistry, class of 2023
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316676174) · Data from the CMS NPPES public registry.