Active NPI
Zinnia Carlos Regala, DDS
- Dentist
- Burbank, CA
National Provider Identifier
1023150703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44459
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44459 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatric Dentistry
- Burbank, CA
- NPI 1487213393
-
- Dental Clinic/Center
- Burbank, CA
- NPI 1922359603
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"
}
]
}
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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.