Sergio Moncada DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41027 Issued in CA

Legal business name

SERGIO MONCADA DDS INC

Practice address

2227 W First Street
Santa Ana, CA 92703-3505

Phone

(714) 547-2814

Fax

(714) 953-0141

NPI assigned

Oct 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Moncada, DDSNPI 1922093145

Title

President/Owner

Phone

(714) 547-2814

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sergio Moncada, DDS

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1922093145
  NPD (past) Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154404655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 W FIRST STREET",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033505",
            "telephone_number": "714-547-2814",
            "fax_number": "714-953-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 W FIRST STREET",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033505",
            "telephone_number": "714-547-2814",
            "fax_number": "714-953-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO MONCADA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-547-2814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Sepulveda
• Jessica Baez Sepulveda, RN
• Rita Marie Sequeira, PH.D
• Jean Serafin, RN, BSN, PHN
• Sergio Levenzon M.D. Inc. (Main Street Prenatal Medical Clinic)
• Sergio R. Aguilar, DDS, Inc.
• Arnold Serigstad
• Davina Serna
• Joseph Anthony Serna, M.D.
• Maria Serna

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• 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.