Active NPI
Arnulfo Molina, DDS
- General Practice Dentistry
- Reseda, CA
National Provider Identifier
1083623557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49941
- Practice address
- 17756 Saticoy St
Reseda, CA 91335-3381 - Phone
- (818) 705-4700
- Fax
- (818) 705-1681
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 49941 | CA | Primary |
Addresses
Primary practice location
17756 Saticoy St
Reseda, CA 91335-3381
Mailing address
17756 Saticoy St
Reseda, CA 91335-3381
Phone (818) 705-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740250 | Other | CA | UNITED CONCORDIA |
| G9361301 | Other | CA | DENTI CAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49941 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnulfo Molina Professional Dental Corporation | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Reseda, CA
- NPI 1265676761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1083623557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17756 SATICOY ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353381",
"telephone_number": "818-705-4700",
"fax_number": "818-705-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17756 SATICOY ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353381",
"telephone_number": "818-705-4700",
"fax_number": "818-705-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "ARNULFO",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1740250",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI CAL",
"identifier": "G9361301",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.