NPIMap

Individual provider Active NPI

Martha Gamiz, R.D.A. E.F

  • Dental Assistant
  • Lancaster, CA
National Provider Identifier
1023255098
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
1069 Issued in CA
Practice address
44558 10TH St W
Lancaster, CA 93534-3333
Phone
(661) 723-1111
Fax
(661) 726-0587
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 1069 CA Primary

Addresses

Primary practice location

44558 10TH St W
Lancaster, CA 93534-3333

Mailing address

44517 Stillwater Dr
Lancaster, CA 93536-6430
Phone (661) 943-9324

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

Practice roles

OrganizationSpecialtyStatusNew patients
Farid Pakravan Professional Dental Corporation Past Accepting new patients
Family Dental Care 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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1023255098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44517 STILLWATER DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366430",
            "telephone_number": "661-943-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44558 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343333",
            "telephone_number": "661-723-1111",
            "fax_number": "661-726-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMIZ",
        "first_name": "MARTHA",
        "credential": "R.D.A. E.F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.