Active NPI
Lilinda Cruz Enano, DMD
- Dentist
- Bonita, CA
National Provider Identifier
1265447668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39397
- Practice address
- 4144 Bonita Rd
Bonita, CA 91902 - Phone
- (619) 475-4226
- Fax
- (619) 475-1560
- NPI assigned
- Jul 31, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 39397 | CA | Primary |
Addresses
Primary practice location
4144 Bonita Rd
Bonita, CA 91902
Mailing address
4144 Bonita Rd
Bonita, CA 91902
Phone (619) 475-4226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508586 | Other | CA | MEDICAL IDENTICAL |
| 686971 | Other | CA | UNITED CONCORDIA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265447668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4144 BONITA RD",
"city": "BONITA",
"state": "CA",
"postal_code": "91902",
"telephone_number": "619-475-4226",
"fax_number": "619-475-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 BONITA RD",
"city": "BONITA",
"state": "CA",
"postal_code": "91902",
"telephone_number": "619-475-4226",
"fax_number": "619-475-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENANO",
"first_name": "LILINDA",
"middle_name": "CRUZ",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL IDENTICAL",
"identifier": "508586",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "686971",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.