NPIMap

Organization Active NPI

Ana Guevara, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1265639421
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41082 Issued in CA
Legal business name
ANA GUEVARA, D.D.S.
Practice address
5114 Venice Blvd
Los Angeles, CA 90019-5229
Phone
(323) 634-9333
Fax
(323) 634-9363
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ana Guevara
Title
Owner
Phone
(323) 634-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41082 CA Primary

Addresses

Primary practice location

5114 Venice Blvd
Los Angeles, CA 90019-5229

Mailing address

5114 Venice Blvd
Los Angeles, CA 90019-5229
Phone (323) 634-9333

National Provider Directory

National Provider Directory

Locations

5114 Venice Blvd
Los Angeles, CA 90019
Phone (323) 634-9333

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265639421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195229",
            "telephone_number": "323-634-9333",
            "fax_number": "323-634-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195229",
            "telephone_number": "323-634-9333",
            "fax_number": "323-634-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA GUEVARA, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-634-9333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.