Individual provider Active NPI

Maria Teresa Inductivo Hizon, DDS, DMD

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1285930479
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59973 Issued in CA
Practice address
244 S Oxford Ave
Suite 12
Los Angeles, CA 90004-5173
Phone
(213) 388-5533
NPI assigned
Feb 4, 2011
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59973 CA Primary
General Practice Dentistry 1223G0001X 59973 CA

Addresses

Primary practice location

244 S Oxford Ave
Suite 12
Los Angeles, CA 90004-5173

Mailing address

2155 Verdugo Blvd # 605
Montrose, CA 91020-1628
Phone (240) 463-6571

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180227000941 CA Order and Referring Only - DentistPractitioner - Dentist 7517228976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59973CAMDDentist
59976CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hengameh Anaraki, DDS, Inc Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1285930479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 VERDUGO BLVD # 605",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201628",
            "telephone_number": "240-463-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S OXFORD AVE",
            "address_2": "SUITE 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045173",
            "telephone_number": "213-388-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIZON",
        "first_name": "MARIA TERESA",
        "middle_name": "INDUCTIVO",
        "name_prefix": "Dr.",
        "credential": "DDS, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59973",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.