Active NPI
Sonia Q. Estabillo, D.D.S.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1265672547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51923
- Practice address
- 569 S Ogden Dr
Los Angeles, CA 90036-3201 - Phone
- (415) 373-8045
- NPI assigned
- Feb 26, 2009
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51923 | CA | Primary |
Addresses
Primary practice location
569 S Ogden Dr
Los Angeles, CA 90036-3201
Mailing address
569 S Ogden Dr
Los Angeles, CA 90036-3201
Phone (415) 373-8045
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": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1265672547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 S OGDEN DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363201",
"telephone_number": "415-373-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 S OGDEN DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363201",
"telephone_number": "415-373-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTABILLO",
"first_name": "SONIA",
"middle_name": "Q.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51923",
"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 Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.