Healthcare Provider Details

I. General information

NPI: 1285002345
Provider Name (Legal Business Name): RAMI BESHAI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2015
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10014 FOOTHILLS BLVD
ROSEVILLE CA
95747-7102
US

IV. Provider business mailing address

10645 WESTERN AVE APT D
DOWNEY CA
90241-3466
US

V. Phone/Fax

Practice location:
  • Phone: 916-780-2262
  • Fax: 916-780-2262
Mailing address:
  • Phone: 310-403-8066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number64972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: