Active NPI
Alfonso Munoz
- Dental Assistant
- Monrovia, CA
National Provider Identifier
1215551809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 94645
- Practice address
- 154 W Foothill Blvd Ste C-2a
Monrovia, CA 91016-2171 - Phone
- (626) 385-4936
- NPI assigned
- May 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 94645 | CA | Primary |
Addresses
Primary practice location
154 W Foothill Blvd Ste C-2a
Monrovia, CA 91016-2171
Mailing address
15090 Lime St
Hesperia, CA 92345-3816
Phone (760) 985-0660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94645 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590796800000",
"number": "1215551809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15090 LIME ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453816",
"telephone_number": "760-985-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 W FOOTHILL BLVD STE C-2A",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162171",
"telephone_number": "626-385-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "ALFONSO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-30",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "94645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.