Organization Active NPI

Lin Ma DDS Inc

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1134329170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46201 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G9279001MedicaidCABILLING PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Lin Ma DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.