Active NPI
Anna Tu-Anh Nonaka, DDS
- Dentist
- Alhambra, CA
National Provider Identifier
1023673019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104910
- Practice address
- 157 N Garfield Ave
Alhambra, CA 91801-3547 - Phone
- (626) 284-5113
- Fax
- (626) 284-6415
- NPI assigned
- May 5, 2019
- Last updated
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 104910 | CA | Primary |
Addresses
Primary practice location
157 N Garfield Ave
Alhambra, CA 91801-3547
Mailing address
157 N Garfield Ave
Alhambra, CA 91801-3547
Phone (626) 284-5113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190809002617 | OR | Order and Referring Only - Dentist | 1052648227 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104910 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nonaka Dental Corporation | Current | Accepting new patients |
Locations
157 N Garfield Ave
Alhambra, CA 91801
Phone (626) 284-5113
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1023673019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 N GARFIELD AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013547",
"telephone_number": "626-284-5113",
"fax_number": "626-284-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 N GARFIELD AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013547",
"telephone_number": "626-284-5113",
"fax_number": "626-284-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NONAKA",
"first_name": "ANNA",
"middle_name": "TU-ANH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-05",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.