Individual provider Active NPI

Maria Paz Dulay, D.D.S.

  • General Practice Dentistry
  • Lakewood, CA
National Provider Identifier
1124369186
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53448 Issued in CA
Practice address
5464 South St
Lakewood, CA 90712
Phone
(562) 866-0705
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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 53448 CA Primary

Addresses

Primary practice location

5464 South St
Lakewood, CA 90712

Mailing address

1035 Coral Cir
Brea, CA 92821-2152

Other practice location 1

3875 Wilshire Blvd
Suite 1301
Los Angeles, CA 90010-3205
Phone (213) 383-5047

Other practice location 2

324 N Allen Ave
Pasadena, CA 91106-1604
Phone (626) 795-6566

Other identifiers 1

IdentifierTypeStateIssuer
D53448MedicaidCA

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

LicenseStateTypeSpecialty
53448CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacita D. Franco, D.D.S., Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1124369186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 CORAL CIR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-866-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 Wilshire Blvd",
            "address_2": "Suite 1301",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103205",
            "country_code": "US",
            "telephone_number": "213-383-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 N Allen Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911061604",
            "country_code": "US",
            "telephone_number": "626-795-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULAY",
        "first_name": "MARIA PAZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D53448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.