Active NPI
Sandra Guiomar Leal Pinilla, DDS
- General Practice Dentistry
- Santa Ana, CA
National Provider Identifier
1023867405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104777
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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.