Active NPI
Isaiah Rene Nuno
- Dental Assistant
- Los Angeles, CA
National Provider Identifier
1023537578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 86327
- Practice address
- 5807 N Figueroa St
Los Angeles, CA 90042-4227 - Phone
- (323) 509-4560
- NPI assigned
- Sep 15, 2017
- Last updated
- Sep 15, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 86327 | CA | Primary |
Addresses
Primary practice location
5807 N Figueroa St
Los Angeles, CA 90042-4227
Mailing address
681 Lincoln Ave
Pasadena, CA 91103-2936
Phone (626) 923-8803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86327 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1023537578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 LINCOLN AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032936",
"telephone_number": "626-923-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5807 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424227",
"telephone_number": "323-509-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNO",
"first_name": "ISAIAH",
"middle_name": "RENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "86327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86327",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.