Individual provider Active NPI

Christine Nguyen Cabrera, D.D.S.

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1285987123
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61942 Issued in CA
Practice address
10682 Sennit Ave
Garden Grove, CA 92843-5336
Phone
(714) 856-4288
NPI assigned
Oct 16, 2012
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 61942 CA Primary

Addresses

Primary practice location

10682 Sennit Ave
Garden Grove, CA 92843-5336

Mailing address

10682 Sennit Ave
Garden Grove, CA 92843-5336

Other names 1

  • Christine Thanh Mai Nguyen Former 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
61942CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Nguyen Cabrera DDS Inc CurrentSince Nov 27, 2022 Accepting new patients
Christine Nguyen Cabrera Dental Corporation Current Accepting new patients

Locations

1922 S Garey Ave
Pomona, CA 91766
Phone (714) 856-4288

Interoperability endpoints

  • Direct secure messaging: cnguyen@direct.westerndental.com

Organizations & group practices 2

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1285987123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10682 SENNIT AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10682 SENNIT AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928435336",
            "telephone_number": "714-856-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "CHRISTINE",
        "middle_name": "NGUYEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NGUYEN",
            "middle_name": "THANH MAI",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.