Individual provider Active NPI

Belinda Reyes-Vasquez, D.D.S.

  • Dentist
  • La Puente, CA
National Provider Identifier
1003000175
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56153 Issued in CA
Practice address
322 N Azusa Ave Ste 202
La Puente, CA 91744-4648
Phone
(626) 581-0800
Fax
(626) 581-0591
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56153 CA Primary

Addresses

Primary practice location

322 N Azusa Ave Ste 202
La Puente, CA 91744-4648

Mailing address

4727 Silver Tip Dr
Whittier, CA 90601-1763
Phone (626) 378-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56153CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1003000175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 SILVER TIP DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906011763",
            "telephone_number": "626-378-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N AZUSA AVE STE 202",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444648",
            "telephone_number": "626-581-0800",
            "fax_number": "626-581-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-VASQUEZ",
        "first_name": "BELINDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.