Jesmine Boghawala DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JESMINE BOGHAWALA DDS INC.

Practice address

13017 Artesia Blvd Suite D120
Cerritos, CA 90703-5365

Phone

(562) 860-6626

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jesmine Boghawala, DDSNPI 1235486143

Title

Dentist

Phone

(562) 860-6626

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative Smiles Other name

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: cerritos@theinnovativesmiles.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesmine Boghawala, D.D.S, M.P.A, B.D.S

  • Dentist
  • Cerritos, CA
  • NPI 1235486143
  NPD Authorized official
• Katie Phuong Ho

  • General Practice Dentistry
  • Placentia, CA
  • NPI 1427826601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1033765870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 SOUTH ST STE 110B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035365",
            "telephone_number": "562-860-6626",
            "fax_number": "562-860-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 ARTESIA BLVD SUITE D120",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035365",
            "telephone_number": "562-860-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Yorba Linda Blvd Suite 3",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "92870",
            "country_code": "US",
            "telephone_number": "714-996-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1042 E Wardlow Rd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074708",
            "country_code": "US",
            "telephone_number": "562-542-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESMINE BOGHAWALA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "BOGHAWALA",
        "authorized_official_first_name": "JESMINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-860-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235486143",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cerritos@theinnovativesmiles.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cerritos@theinnovativesmiles.com",
            "address_1": "13017 Artesia Blvd Suite D120",
            "city": "Cerritos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907035365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Innovative Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sally A Jennings, FNP
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• Eduardo Jimenez
• Esther Jimenez

• Dental Clinic/Center in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.