Active NPI
Andre Klay Cataluna, DDS
- Prosthodontics
- Beverly Hills, CA
National Provider Identifier
1154950921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 106123
- Practice address
- 152 S Lasky Dr Ste 204
Beverly Hills, CA 90212-1716 - Phone
- (310) 276-7028
- NPI assigned
- Apr 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 106123 | CA | Primary |
Addresses
Primary practice location
152 S Lasky Dr Ste 204
Beverly Hills, CA 90212-1716
Mailing address
22608 Marbella Ave
Carson, CA 90745-3921
Phone (310) 505-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106123 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724457600000",
"number": "1154950921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22608 MARBELLA AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907453921",
"telephone_number": "310-505-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 204",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121716",
"telephone_number": "310-276-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATALUNA",
"first_name": "ANDRE",
"middle_name": "KLAY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "106123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.