Amanda Katherine Maldonado, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS108746 Issued in CA

Practice address

2730 Wilshire Blvd Ste 201
Santa Monica, CA 90403-4744

Phone

(310) 828-1513

NPI assigned

Mar 13, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lambridis Dental Corporation

  dba Thousand Oaks Dental Group

  • General Practice Dentistry
  • Thousand Oaks, CA
  • NPI 1457446395
  NPD (past)

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1255089850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034744",
            "telephone_number": "310-828-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034744",
            "telephone_number": "310-828-1513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 E Avenida De Los Arboles Ste A",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913621392",
            "country_code": "US",
            "telephone_number": "805-493-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AMANDA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS108746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Deborah Maken, N.D.
• Meena Makhijani, D.O.
• Edith Malachi X
• Maldonado Medical, LLC
• Irma Maldonado-Enriquez, PSY.D.
• Luis Jesus Maldonado, AOD COUNSELOR
• Ali Ashgar Maleksaeedi, DPT
• Paul Maler, MD
• Arsalan Malik, MD
• Barnet David Malin, M.D.

• Dentist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.