Active NPI
Aeshna Mathur, DMD
- Endodontics
- Montebello, CA
National Provider Identifier
1093927386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 52543
- Practice address
- 220 E Beverly Blvd
Montebello, CA 90640-3722 - Phone
- (323) 888-1192
- NPI assigned
- May 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 52543 | CA | Primary |
Addresses
Primary practice location
220 E Beverly Blvd
Montebello, CA 90640-3722
Mailing address
9193 Sierra Ave
Ste D
Fontana, CA 92335-4776
Phone (909) 822-2227
Other names 1
- Aeshna Sharma
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160630000564 | CA | Order and Referring Only - Other (Physician) | 8022300664 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52543 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1093927386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9193 SIERRA AVE",
"address_2": "STE D",
"city": "FONTANA",
"state": "CA",
"postal_code": "923354776",
"telephone_number": "909-822-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403722",
"telephone_number": "323-888-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "AESHNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "52543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AESHNA",
"last_name": "SHARMA",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.