Active NPI
Lin Ma DDS Inc
- General Practice Dentistry
- West Covina, CA
National Provider Identifier
1134329170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46201
- Legal business name
- LIN MA DDS INC
- Practice address
- 1433 W Merced Ave Ste 204
West Covina, CA 91790-3402 - Phone
- (626) 966-4514
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosa Idalia Noriega
- Title
- Office Meneger
- Phone
- (626) 966-4514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46201 | CA | Primary |
Addresses
Primary practice location
1433 W Merced Ave Ste 204
West Covina, CA 91790-3402
Mailing address
1433 W Merced Ave Ste 204
West Covina, CA 91790-3402
Phone (626) 966-4514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9279001 | Medicaid | CA | BILLING PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Lin Ma DDS Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- West Covina, CA
- NPI 1720378607
-
- General Practice Dentistry
- West Covina, CA
- NPI 1730387226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1134329170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 W MERCED AVE STE 204",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903402",
"telephone_number": "626-966-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 W MERCED AVE STE 204",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903402",
"telephone_number": "626-966-4514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIN MA DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NORIEGA",
"authorized_official_first_name": "ROSA",
"authorized_official_middle_name": "IDALIA",
"authorized_official_title_or_position": "OFFICE MENEGER",
"authorized_official_telephone_number": "626-966-4514"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": "BILLING PROVIDER NUMBER",
"identifier": "G9279001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.