Luis Pedro Novielli, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

59264 Issued in CA

Practice address

14311 Ramona Blvd
Baldwin Park, CA 91706-3242

Phone

(626) 960-9440

NPI assigned

Jul 9, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Navid Bahrami DDS Inc

  • Dentist
  • Huntington Park, CA
  • NPI 1073623435
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1295047975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 COLUMBIA AVE APT 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171292",
            "telephone_number": "323-470-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14311 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-960-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIELLI",
        "first_name": "LUIS",
        "middle_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "59264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VI Hoang Nguyen, D.C.
• Vu Thuy Nguyen, MD
• Vy Tuong Nguyen, RPH
• Michael Jan Nieraeth, PT
• Ken T Nishikawa, PHARM.D.
• Marie Sherryll Ann Nuguid, RRT
• Nicole Desiree Ochoa, PTA
• Linda Tsugawa Ogata, PHARMD
• Sterling Ojeda, RRT
• Mary I Okwandu, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.