NPIMap

Organization Active NPI

Tamayo Inc & Lascoe Inc Dental Partnership

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1134637150
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52474 Issued in CA
Legal business name
TAMAYO INC & LASCOE INC DENTAL PARTNERSHIP
Practice address
4400 S Broadway Ste #103
Los Angeles, CA 90037
Phone
(323) 233-9400
Fax
(323) 233-9944
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Enrique Tamayo, D.D.S.NPI 1811033699
Title
Partner/Dentist
Phone
(323) 233-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52474 CA Primary

Addresses

Primary practice location

4400 S Broadway Ste #103
Los Angeles, CA 90037

Mailing address

4400 S Broadway Ste #103
Los Angeles, CA 90037
Phone (323) 233-9400

National Provider Directory

National Provider Directory

Locations

4400 S Broadway
Ste 103
Los Angeles, CA 90037
Phone (323) 233-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1134637150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S BROADWAY STE #103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90037",
            "telephone_number": "323-233-9400",
            "fax_number": "323-233-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S BROADWAY STE #103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90037",
            "telephone_number": "323-233-9400",
            "fax_number": "323-233-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMAYO INC & LASCOE INC DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "323-233-9400",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.