Individual provider Active NPI

Edmundo Jose Malaga Figueroa, D.D.S.

  • General Practice Dentistry
  • Paramount, CA
National Provider Identifier
1306087465
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57902 Issued in CA
Practice address
7922 Rosecrans Ave.
Ste a
Paramount, CA 90723-6043
Phone
(562) 633-7172
NPI assigned
Mar 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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 57902 CA Primary

Addresses

Primary practice location

7922 Rosecrans Ave.
Ste a
Paramount, CA 90723-6043

Mailing address

9620 Sepulveda Blvd
Unit 58
North Hills, CA 91343-3364
Phone (818) 471-1910

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
57902CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1306087465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 SEPULVEDA BLVD",
            "address_2": "UNIT 58",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433364",
            "telephone_number": "818-471-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 ROSECRANS AVE.",
            "address_2": "STE A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907236043",
            "telephone_number": "562-633-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGA FIGUEROA",
        "first_name": "EDMUNDO",
        "middle_name": "JOSE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.