Pearl Ambrosio Caligiuri, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

59363 Issued in CA

Practice address

26974 Rainbow Glen Dr
Canyon Country, CA 91351-4875

Phone

(661) 673-8888

Fax

(661) 298-8668

NPI assigned

Jul 21, 2010

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 names 1

• Pearl Llorico Ambrosio Former name

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

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 and National Provider Directory roles.

• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009
  Medicare reassignment NPD
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1548960834
  NPD
• Northeast Valley Health Corporation

  • Community Health Clinic/Center
  • Valencia, CA
  • NPI 1730180118
  NPD
• Northeast Valley Health Corporation

  • Dental Clinic/Center
  • Santa Clarita, CA
  • NPI 1689925729
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1205149176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26974 RAINBOW GLEN DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514875",
            "telephone_number": "661-673-8888",
            "fax_number": "661-298-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26974 RAINBOW GLEN DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514875",
            "telephone_number": "661-673-8888",
            "fax_number": "661-298-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIGIURI",
        "first_name": "PEARL",
        "middle_name": "AMBROSIO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEARL",
            "last_name": "AMBROSIO",
            "middle_name": "LLORICO",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Paola Briviesca
• Elliot Mark Bronwein, OD.
• Thinh Van Bui, DDS
• Nosheen Zahra Bukhari, RPH
• Christine Bwogi
• Christina Isabel Canton
• Canyon Country Adult Day Health Care
• Canyon Country Dialysis Center, LLC
• Canyon Recovery Center Inc
• Castellari Smile

• Dentist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Dentist in California

• 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.
• 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.