Individual provider Active NPI

Anna Tu-Anh Nonaka, DDS

  • Dentist
  • Alhambra, CA
National Provider Identifier
1023673019
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104910 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190809002617 OR Order and Referring Only - DentistPractitioner - Dentist 1052648227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104910CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nonaka Dental Corporation CurrentSince Aug 3, 2025 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

Verify at the official NPI Registry.