Individual provider Active NPI

Noemi Garcia Taguinod, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Anaheim, CA
National Provider Identifier
1023458064
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
45029 Issued in CA
Practice address
408 S Beach Blvd Ste 113
Anaheim, CA 92804-1876
Phone
(714) 816-0954
Fax
(714) 816-0970
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45029 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 45029 CA Primary

Addresses

Primary practice location

408 S Beach Blvd Ste 113
Anaheim, CA 92804-1876

Mailing address

408 S Beach Blvd Ste 113
Anaheim, CA 92804-1876
Phone (714) 816-0954

Other practice location 1

15617 Studebaker Rd Ste 5
Norwalk, CA 90650-5471
Phone (562) 484-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170529000052 CA Practitioner - Oral Surgery 4981904828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45029CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Noemi Taguinod Dental Corporation General Practice CurrentSince Nov 12, 2016 Accepting new patients
Noemi Taguinod Dental Corporation General Practice CurrentSince Mar 22, 2017 Accepting new patients

Locations

408 S Beach Blvd
Ste 113
Anaheim, CA 92804
Phone (714) 816-0954

15617 Studebaker Rd
Ste 5
Norwalk, CA 90650
Phone (562) 484-3936

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1023458064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 113",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041876",
            "telephone_number": "714-816-0954",
            "fax_number": "714-816-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 113",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041876",
            "telephone_number": "714-816-0954",
            "fax_number": "714-816-0970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15617 Studebaker Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906505471",
            "country_code": "US",
            "telephone_number": "562-484-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGUINOD",
        "first_name": "NOEMI",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45029",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.