Individual provider Active NPI

Patrick Y Challita, DDS

  • General Practice Dentistry
  • Monrovia, CA
National Provider Identifier
1184894107
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41900 Issued in CA
Practice address
717 W Foothill Blvd
Monrovia, CA 91016-1940
Phone
(626) 355-2211
NPI assigned
Mar 5, 2008
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41900 CA Primary

Addresses

Primary practice location

717 W Foothill Blvd
Monrovia, CA 91016-1940

Mailing address

717 W Foothill Blvd
Monrovia, CA 91016-1940
Phone (626) 355-2211

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

LicenseStateTypeSpecialty
41900CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Y Challita, DDS, Inc General Practice Current Accepting new patients

Locations

717 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 327-9805

80 S Baldwin Ave
Sierra Madre, CA 91024

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1184894107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W FOOTHILL BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161940",
            "telephone_number": "626-355-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W FOOTHILL BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161940",
            "telephone_number": "626-355-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLITA",
        "first_name": "PATRICK",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.