Individual provider Active NPI

Jose C Chaidez-Redmiles, RDHAP

  • Dental Hygienist
  • Los Angeles, CA
National Provider Identifier
1194373415
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1103 Issued in CA
Practice address
695 S Santa Fe Ave Apt 263
Los Angeles, CA 90021-1347
Phone
(310) 926-1478
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1103 CA Primary

Addresses

Primary practice location

695 S Santa Fe Ave Apt 263
Los Angeles, CA 90021-1347

Mailing address

695 S Santa Fe Ave Apt 263
Los Angeles, CA 90021-1347
Phone (310) 926-1478

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
1103CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1194373415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S SANTA FE AVE APT 263",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211347",
            "telephone_number": "310-926-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S SANTA FE AVE APT 263",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211347",
            "telephone_number": "310-926-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIDEZ-REDMILES",
        "first_name": "JOSE",
        "middle_name": "C",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.