Individual provider Active NPI

Sandra Guiomar Leal Pinilla, DDS

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1023867405
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104777 Issued in CA
Practice address
2800 N Main St Unit 1010
Santa Ana, CA 92705-6076
Phone
(714) 862-1210
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104777 CA Primary

Addresses

Primary practice location

2800 N Main St Unit 1010
Santa Ana, CA 92705-6076

Mailing address

701 W Imperial Hwy
La Habra, CA 90631-7073
Phone (562) 455-0367

Other practice location 1

709 W Beverly Blvd
Montebello, CA 90640-3600
Phone (323) 622-6227

Other practice location 2

1857 E 4th St
Ontario, CA 91764-2601
Phone (909) 640-3767

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1023867405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W IMPERIAL HWY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317073",
            "telephone_number": "562-455-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N MAIN ST UNIT 1010",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056076",
            "telephone_number": "714-862-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 W Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906403600",
            "country_code": "US",
            "telephone_number": "323-622-6227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1857 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917642601",
            "country_code": "US",
            "telephone_number": "909-640-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL PINILLA",
        "first_name": "SANDRA",
        "middle_name": "GUIOMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.