Individual provider Active NPI

Alina Wanling Gad, DDS

  • General Practice Dentistry
  • Diamond Bar, CA
National Provider Identifier
1124376983
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38318 Issued in CA
Practice address
20657 Golden Springs Dr
Suite 207
Diamond Bar, CA 91789-3875
Phone
(909) 595-8288
Fax
(909) 595-8388
NPI assigned
Aug 27, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 38318 CA Primary

Addresses

Primary practice location

20657 Golden Springs Dr
Suite 207
Diamond Bar, CA 91789-3875

Mailing address

20657 Golden Springs Dr
Suite 207
Diamond Bar, CA 91789-3875
Phone (909) 595-8288

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000998 CA Order and Referring Only - DentistPractitioner - Dentist 8022310853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38318CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gad 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1124376983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR",
            "address_2": "SUITE 207",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893875",
            "telephone_number": "909-595-8288",
            "fax_number": "909-595-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR",
            "address_2": "SUITE 207",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893875",
            "telephone_number": "909-595-8288",
            "fax_number": "909-595-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAD",
        "first_name": "ALINA",
        "middle_name": "WANLING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.