Esteban Emilio Gallegos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

106935 Issued in CA

Practice address

2710 Carson St
Lakewood, CA 90712-4051

Phone

(562) 275-8113

NPI assigned

Apr 8, 2020

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leong and Pandhoh Dental Corporation

  dba The Dental Office of Lakewood

  • General Practice Dentistry
  • Lakewood, CA
  • NPI 1265082366
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1194344325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 OAKFIELD AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031636",
            "telephone_number": "714-329-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 CARSON ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124051",
            "telephone_number": "562-275-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 E Julian St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951124007",
            "country_code": "US",
            "telephone_number": "408-457-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ESTEBAN",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106935",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Joy Furio
• Mark Gailes
• Erwin C Galicinao, RPT
• Melanie Endeno Galima
• Leslie Galindo-Montiel
• Ganji & Ganji DDS Corporation (The Lakewood Dentist)
• Cherie R Garcia, MD
• Hope Garcia, LMT
• Jennifer Garcia, P.T.
• Nicole Garcia

• Dentist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.