Andrew Djaya, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105360 Issued in CA

Practice address

9316 Painter Ave
Whittier, CA 90605-2727

Phone

(562) 945-9493

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew Djaya DDS Inc

  • General Practice Dentistry
  • Whittier, CA
  • NPI 1538015003
  NPD Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1225641624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20795 CIRCULO DEL SOL",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9316 PAINTER AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052727",
            "telephone_number": "562-945-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAYA",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tantradjayadds@verizon.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9316 Painter Ave",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906052727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Divine Treatment Centers (Quality Therapy CA)
• Andrea Dixon
• Monica Dixon
• Rebecca Anne Dixon
• Caleb Dizon, FNP-C
• Tantra Djaya, DDS
• Anh DO
• Kassie DO
• Kimberly Dawn Manzano Doctolero
• Doctors Convalescent Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.