Individual provider Active NPI

Gisella M.L. Angarita, DDS

  • Dentist
  • Ontario, CA
National Provider Identifier
1124427224
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41340 Issued in CA
Practice address
848 N Euclid Ave
Ontario, CA 91762-2730
Phone
(909) 984-1576
Fax
(909) 483-0973
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41340 CA Primary

Addresses

Primary practice location

848 N Euclid Ave
Ontario, CA 91762-2730

Mailing address

PO Box 1878
Upland, CA 91785-1878
Phone (909) 229-9209

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
I20161207000193 CA Order and Referring Only - DentistPractitioner - Dentist 0749560811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gisella M.L. Angarita DDS,Apc 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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1124427224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1878",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851878",
            "telephone_number": "909-229-9209",
            "fax_number": "909-483-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622730",
            "telephone_number": "909-984-1576",
            "fax_number": "909-483-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGARITA",
        "first_name": "GISELLA",
        "middle_name": "M.L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.