Anthony Bordas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

034306 Issued in CA

Practice address

12739 Lakewood Blvd
Suite C
Downey, CA 90242-4521

Phone

(562) 869-7006

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225046519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12739 LAKEWOOD BLVD",
            "address_2": "SUITE C",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424521",
            "telephone_number": "562-869-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12739 LAKEWOOD BLVD",
            "address_2": "SUITE C",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424521",
            "telephone_number": "562-869-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDAS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "034306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Emmanuel Bonilla
• Vincent Bonilla, LMFT
• Taniya Keia Bonner
• John Glennford Baccaray Bonoan, RT
• Chaiyaporn Boonchalermvichian, MD
• Julio Jacinto Bordas, M.D.
• Robin Hoshizaki Borden, PHARM.D.
• Carla Michelle Borem, LVN
• Mark James Borigini, M.D.
• Mary Ann Bos, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.