Active NPI
Viridiana Pablo-Martinez
- Dental Assistant
- Artesia, CA
National Provider Identifier
1255953428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 81824
- Practice address
- 11635 South St
Artesia, CA 90701-6628 - Phone
- (562) 924-4401
- NPI assigned
- May 11, 2020
- Last updated
- May 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 81824 | CA | Primary |
Addresses
Primary practice location
11635 South St
Artesia, CA 90701-6628
Mailing address
125 S Magnolia Ave Apt 10
Anaheim, CA 92804-2132
Phone (714) 366-0209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81824 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81824 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1255953428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S MAGNOLIA AVE APT 10",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042132",
"telephone_number": "714-366-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "562-924-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABLO-MARTINEZ",
"first_name": "VIRIDIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "81824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81824",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
- Optimum Care Physical Therapy Services (Optimum Care Therapy)
- Orange Healthcare Services LLC
- Marissa Bautista Oriel, DMD
- Alma Ortiz, M.A., LMFT
- Angel Jumapao Ouano, D.D.S.
- Sungmin Pak, D.C., L.AC.
- Cherlene Panganiban, OTR
- Christine Arambulo Pangga
- Paramount Acupuncture Clinic
- Jacqueline Jung Ah Park, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.