Active NPI
Krasnodara Gashparova, DDS, Inc
- Dental Clinic/Center
- Alhambra, CA
National Provider Identifier
1184882391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 53452
- Legal business name
- KRASNODARA GASHPAROVA, DDS, INC
- Practice address
- 1933 W Valley Blvd
Alhambra, CA 91803-2346 - Phone
- (626) 289-6131
- Fax
- (626) 289-0408
- NPI assigned
- May 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krasnodara N Gashparova, DDS
- Title
- President
- Phone
- (818) 572-6375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 53452 | CA | Primary |
Addresses
Primary practice location
1933 W Valley Blvd
Alhambra, CA 91803-2346
Mailing address
1933 W Valley Blvd
Alhambra, CA 91803-2346
Phone (626) 289-6131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | Other | CA | TAXONOMY |
| 1235317033 | Other | CA | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryLocations
1933 W Valley Blvd
Alhambra, CA 91803
Phone (626) 284-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211760000000",
"number": "1184882391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032346",
"telephone_number": "626-289-6131",
"fax_number": "626-289-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032346",
"telephone_number": "626-289-6131",
"fax_number": "626-289-0408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRASNODARA GASHPAROVA, DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-26",
"last_updated": "2008-05-26",
"status": "A",
"authorized_official_last_name": "GASHPAROVA",
"authorized_official_first_name": "KRASNODARA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-572-6375",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "53452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "1223G0001X",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1235317033",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.