Individual provider Active NPI

Jesmine Boghawala, D.D.S, M.P.A, B.D.S

  • Dentist
  • Cerritos, CA
National Provider Identifier
1235486143
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61513 Issued in CA
Practice address
13017 Artesia Blvd Suite D120
Cerritos, CA 90703-1391
Phone
(562) 860-6626
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61513 CA Primary

Addresses

Primary practice location

13017 Artesia Blvd Suite D120
Cerritos, CA 90703-1391

Mailing address

13017 Artesia Blvd Ste D120
Cerritos, CA 90703-1391
Phone (562) 860-6626

Other practice location 1

601 E Yorba Linda Blvd Suite 3
Placentia, CA 92870-3006
Phone (714) 996-1212

Other practice location 2

1042 E Wardlow Rd
Long Beach, CA 90807-4708
Phone (562) 542-3080

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jesmine Boghawala DDS Inc. CurrentSince May 1, 2022 Accepting new patients
Boghawala DDS Inc CurrentSince Mar 12, 2024 Accepting new patients
Boghawala Dental Inc Past Accepting new patients

Locations

13017 Artesia Blvd
Ste D120
Cerritos, CA 90703
Phone (562) 860-6626

1042 E Wardlow Rd
Long Beach, CA 90807
Phone (562) 542-3080

601 E Yorba Linda Blvd
Ste 3
Placentia, CA 92870
Phone (714) 996-1212

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1235486143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13017 ARTESIA BLVD STE D120",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031391",
            "telephone_number": "562-860-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 ARTESIA BLVD SUITE D120",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031391",
            "telephone_number": "562-860-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Yorba Linda Blvd Suite 3",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928703006",
            "country_code": "US",
            "telephone_number": "714-996-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1042 E Wardlow Rd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074708",
            "country_code": "US",
            "telephone_number": "562-542-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGHAWALA",
        "first_name": "JESMINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.P.A, B.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.