Individual provider Active NPI

Alicja Emilia Kazmierowska

  • Pediatric Dentistry
  • Redondo Beach, CA
National Provider Identifier
1255036273
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
111926 Issued in CA
Practice address
1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903
Phone
(845) 531-8375
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 111926 CA Primary

Addresses

Primary practice location

1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903

Mailing address

1611 S Catalina Ave Ste 100
Redondo Beach, CA 90277-7903
Phone (845) 531-8375

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

LicenseStateTypeSpecialty
111926CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1255036273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777903",
            "telephone_number": "845-531-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777903",
            "telephone_number": "845-531-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIEROWSKA",
        "first_name": "ALICJA",
        "middle_name": "EMILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "111926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.