Gabriela Cervantes, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58725 Issued in CA

Practice address

3320 N Los Coyotes Diagonal
Long Beach, CA 90808-3918

Phone

(562) 377-1375

NPI assigned

Aug 15, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205082708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90808",
            "telephone_number": "562-377-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083918",
            "telephone_number": "562-377-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ocean Blvd Apt 6304",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908027956",
            "country_code": "US",
            "telephone_number": "714-423-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "GABRIELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT, HEALTH CARE",
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paola Cervantes Coyt
• Alan Cervantes
• Ciana Cervantes
• Diana I Cervantes
• Diego Cervantes, LVN
• Jason Cervantes
• Miranda Marie Monik Cervantes
• Mireya Cervantes, PPS
• Racheal Cervantes
• Diane Cervelli

• Pediatric Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.