Individual provider Active NPI

Maria Elena Palarca Afan, DMD

  • General Practice Dentistry
  • Escondido, CA
National Provider Identifier
1285645978
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39124 Issued in CA
Practice address
1010 E. Ohio Ave.
Escondido, CA 92025-4615
Phone
(760) 743-7117
Fax
(760) 743-7179
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39124 CA Primary

Addresses

Primary practice location

1010 E. Ohio Ave.
Escondido, CA 92025-4615

Mailing address

1010 E. Ohio Ave.
Escondido, CA 92025-4615
Phone (760) 743-7117

Other names 1

  • Maria P Afan Other name

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

LicenseStateTypeSpecialty
39124CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1285645978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E. OHIO AVE.",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254615",
            "telephone_number": "760-743-7117",
            "fax_number": "760-743-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E. OHIO AVE.",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254615",
            "telephone_number": "760-743-7117",
            "fax_number": "760-743-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFAN",
        "first_name": "MARIA ELENA",
        "middle_name": "PALARCA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "AFAN",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.