Organization Active NPI

Ludivina L Pagatpatan,D.D.S.,Inc.

  • Dentist
  • Torrance, CA
National Provider Identifier
1194122358
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48162 Issued in CA
Legal business name
LUDIVINA L PAGATPATAN,D.D.S.,INC.
Practice address
3949 Artesia Blvd
Torrance, CA 90504-3210
Phone
(310) 303-3988
Fax
(310) 303-3919
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dr. Ludivina Luis Pagatpatan, DDS
Title
President
Phone
(310) 303-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48162 CA Primary

Addresses

Primary practice location

3949 Artesia Blvd
Torrance, CA 90504-3210

Mailing address

211 Pismo Dr
Carson, CA 90745-4740
Phone (310) 952-0895

Other names 1

  • Prairie family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ludivina L Pagatpatanddsinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1194122358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PISMO DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454740",
            "telephone_number": "310-952-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 ARTESIA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043210",
            "telephone_number": "310-303-3988",
            "fax_number": "310-303-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDIVINA L PAGATPATAN,D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "PAGATPATAN",
        "authorized_official_first_name": "LUDIVINA",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-303-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.