Matthew David De la Rionda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57609 Issued in CA

Practice address

17175 Ventura Blvd
Encino, CA 91316-4050

Phone

(818) 788-3488

Fax

(818) 788-4388

NPI assigned

Nov 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1285889808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17175 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164050",
            "telephone_number": "818-788-3488",
            "fax_number": "818-788-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17175 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164050",
            "telephone_number": "818-788-3488",
            "fax_number": "818-788-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA RIONDA",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miryam Dayan, OTR/L
• Daylight Home Health Services, Inc.
• Daylight Hospice, Inc.
• Madeline T. De Antonio, L.C.S.W.
• Gelbert G De Guzman, OTA
• Irma Cecilia De la Torre
• Antoinette De Leon
• Nancy Marie De Lira
• Nathalie De Mata
• August Borges De Oliveira Jr., D.D.S.

• General Practice Dentistry in Encino, CA
• Providers in Encino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.