Individual provider Active NPI

Lee Anne Grace Quijano Barangan, DDS

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1023939360
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111983 Issued in CA
Practice address
430 S Central Ave
Glendale, CA 91204-1602
Phone
(818) 243-3986
NPI assigned
Jul 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 111983 CA Primary

Addresses

Primary practice location

430 S Central Ave
Glendale, CA 91204-1602

Mailing address

14334 Lorne St
Panorama City, CA 91402-5208
Phone (213) 292-8960

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": "1784764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1023939360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14334 LORNE ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025208",
            "telephone_number": "213-292-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041602",
            "telephone_number": "818-243-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARANGAN",
        "first_name": "LEE ANNE GRACE",
        "middle_name": "QUIJANO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.