Individual provider Active NPI

Zinnia Carlos Regala, DDS

  • Dentist
  • Burbank, CA
National Provider Identifier
1023150703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44459 Issued in CA
Practice address
2625 W Alameda Ave
Suite 216
Burbank, CA 91505-4832
Phone
(818) 846-8564
Fax
(818) 846-8076
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44459 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave
Suite 216
Burbank, CA 91505-4832

Mailing address

2625 W Alameda Ave
Suite 216
Burbank, CA 91505-4832
Phone (818) 846-8564

Other names 1

  • Ms. Zinnia Asuncion Carlos Former name

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
44459CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sofise Chen, D.D.S. a Professional Dental Corporation Past Accepting new patients
Zinnia Carlos Regala DDS Apc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023150703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 216",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054832",
            "telephone_number": "818-846-8564",
            "fax_number": "818-846-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 216",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054832",
            "telephone_number": "818-846-8564",
            "fax_number": "818-846-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALA",
        "first_name": "ZINNIA",
        "middle_name": "CARLOS",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZINNIA",
            "last_name": "CARLOS",
            "middle_name": "ASUNCION",
            "prefix": "MS.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.