Organization Active NPI

Narvaez DDS, a Professional Dental Corporation

  • Exclusive Provider Organization
  • Lomita, CA
National Provider Identifier
1245580778
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
56354 Issued in CA
Legal business name
NARVAEZ DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
2055 Lomita Blvd
Lomita, CA 90717-1701
Phone
(310) 530-3100
Fax
(310) 530-3103
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Mrs. Arelvis Alejandrina Narvaez-Moore, DDS
Title
President/Ceo/Dentist
Phone
(310) 530-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 56354 CA Primary

Addresses

Primary practice location

2055 Lomita Blvd
Lomita, CA 90717-1701

Mailing address

1379 West Park Western Dr. #517
San Pedro, CA 90732-2300
Phone (310) 530-3100

Other names 1

  • St. Francis Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2055 Lomita Blvd
Lomita, CA 90717
Phone (310) 530-3100

1379 W Park Western Dr
San Pedro, CA 90732
Phone (310) 403-4415

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1245580778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 WEST PARK WESTERN DR. #517",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322300",
            "telephone_number": "310-530-3100",
            "fax_number": "310-530-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171701",
            "telephone_number": "310-530-3100",
            "fax_number": "310-530-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARVAEZ DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "NARVAEZ-MOORE",
        "authorized_official_first_name": "ARELVIS",
        "authorized_official_middle_name": "ALEJANDRINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO/DENTIST",
        "authorized_official_telephone_number": "310-530-3100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "56354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.