Active NPI
Rita Herrera Avila
- Dental Hygienist
- Orange, CA
National Provider Identifier
1174864003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27293
- Practice address
- 179 N Tustin St
Orange, CA 92867-7716 - Phone
- (714) 288-1035
- NPI assigned
- Mar 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 27293 | CA | Primary |
Addresses
Primary practice location
179 N Tustin St
Orange, CA 92867-7716
Mailing address
1925 Contessa
Irvine, CA 92620-1736
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 |
|---|---|---|---|
| 27293 | CA | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pakravan Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Orange, CA
- NPI 1073737524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1174864003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 CONTESSA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677716",
"telephone_number": "714-288-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "RITA",
"middle_name": "HERRERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-01",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.