Organization Active NPI

Guadalupe L Pereira a Prof Corp

  • Dental Clinic/Center
  • Carson, CA
National Provider Identifier
1063083939
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GUADALUPE L PEREIRA A PROF CORP
Practice address
144 W Carson St
Carson, CA 90745-2601
Phone
(310) 835-4088
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Maria Teresa Carretta
Title
Administrative Assistant
Phone
(562) 715-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

144 W Carson St
Carson, CA 90745-2601

Mailing address

144 W Carson St
Carson, CA 90745-2601
Phone (310) 835-4088

National Provider Directory

National Provider Directory
Tax ID family
Guadalupe L Pereira a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1063083939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452601",
            "telephone_number": "310-835-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452601",
            "telephone_number": "310-835-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE L PEREIRA A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "CARRETTA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "562-715-6135"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.