Individual provider Active NPI

Mary Fe G Monzon, DDS

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1043225808
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48336 Issued in CA
Practice address
2543 Pacific Coast Hwy
Suite F
Torrance, CA 90505-7069
Phone
(310) 891-3303
Fax
(310) 891-3338
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 48336 CA Primary

Addresses

Primary practice location

2543 Pacific Coast Hwy
Suite F
Torrance, CA 90505-7069

Mailing address

2543 Pacific Coast Hwy
Suite F
Torrance, CA 90505-7069
Phone (310) 891-3303

Other identifiers 2

IdentifierTypeStateIssuer
1870556OtherCAUNITED CONCORDIA
G9250001OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190708002532 CA Practitioner - Oral Surgery 1355630344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Fe G Monzon DDS Inc CurrentSince Apr 24, 2019 Accepting new patients

Locations

2703 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 735-7223

2543 Pacific Coast Hwy
Ste F
Torrance, CA 90505
Phone (310) 891-3303

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043225808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 PACIFIC COAST HWY",
            "address_2": "SUITE F",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057069",
            "telephone_number": "310-891-3303",
            "fax_number": "310-891-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 PACIFIC COAST HWY",
            "address_2": "SUITE F",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057069",
            "telephone_number": "310-891-3303",
            "fax_number": "310-891-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZON",
        "first_name": "MARY FE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1870556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "G9250001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.