Active NPI
Elsie M Quichocho, RDH
- Dental Hygienist
- San Pedro, CA
National Provider Identifier
1295898773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH0006924
- Practice address
- 1001 S Seaside Ave BLDG 23
San Pedro, CA 90731-7333 - Phone
- (310) 732-7500
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH0006924 | WA | Primary |
Addresses
Primary practice location
1001 S Seaside Ave BLDG 23
San Pedro, CA 90731-7333
Mailing address
3824 S Flower St Apt C
Santa Ana, CA 92707-4708
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH0006924 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295898773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 S FLOWER ST APT C",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927074708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S SEASIDE AVE BLDG 23",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907317333",
"telephone_number": "310-732-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICHOCHO",
"first_name": "ELSIE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH0006924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.