Active NPI
Arcelia Caldera
- Dental Assistant
- Baldwin Park, CA
National Provider Identifier
1124320510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 55453
- Practice address
- 4000 La Rica Ave
Suite D
Baldwin Park, CA 91706-3163 - Phone
- (626) 430-9171
- NPI assigned
- Nov 17, 2010
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 55453 | CA | Primary |
Addresses
Primary practice location
4000 La Rica Ave
Suite D
Baldwin Park, CA 91706-3163
Mailing address
4000 La Rica Ave
Suite D
Baldwin Park, CA 91706-3163
Phone (626) 430-9171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15719 | Other | 55453 |
Other names 1
- Mrs. Arcelia Caldera
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 |
|---|---|---|---|
| 55453 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohen Sedgh, Manavi & Pakravan Dental Corporation | Past | Accepting new patients | |
| Ryan Sein Chein Lee DDS Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Baldwin Park, CA
- NPI 1356686679
-
- General Practice Dentistry
- Baldwin Park, CA
- NPI 1285858548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1124320510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 LA RICA AVE",
"address_2": "SUITE D",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063163",
"telephone_number": "626-430-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LA RICA AVE",
"address_2": "SUITE D",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063163",
"telephone_number": "626-430-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERA",
"first_name": "ARCELIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "55453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "55453",
"identifier": "15719",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARCELIA",
"last_name": "CALDERA",
"prefix": "MRS.",
"credential": "RDA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.