Organization Active NPI

Kasangra West Covina

  • Dentist
  • West Covina, CA
National Provider Identifier
1285591834
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KASANGRA WEST COVINA
Practice address
1050 Lakes Dr Ste 140
West Covina, CA 91790-2929
Phone
(626) 653-9560
Fax
(909) 313-2319
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Samuel Sauza, DDSNPI 1164946356
Title
Owner
Phone
(626) 653-9560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1050 Lakes Dr Ste 140
West Covina, CA 91790-2929

Mailing address

1050 Lakes Dr Ste 140
West Covina, CA 91790-2929
Phone (626) 653-9560

Other names 1

  • Stacked Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Lakes Dr
Ste 140
West Covina, CA 91790
Phone (626) 653-9560

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1285591834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 140",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902929",
            "telephone_number": "626-653-9560",
            "fax_number": "909-313-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 140",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902929",
            "telephone_number": "626-653-9560",
            "fax_number": "909-313-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASANGRA WEST COVINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "SAUZA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-653-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacked Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.