Sonia A Cartagena, DDS – Dentist in Cypress, CA

Key facts

NPI: 1316124753
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 41897 (CA)
Practice address: 4183 Ball Rd
Cypress, CA 90630
Phone: (714) 827-2131
Fax: (714) 827-0832
NPI assigned: Jan 29, 2008
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Sonia Cartagena DDS Inc Dentist · Cypress, CA · NPI 1972610657

NPD (past) Authorized official DENTIST
Julie Tran, DMD, Dental Corp Dentist · Cypress, CA · NPI 1366920621

NPD (past) DENTIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
41897	CA	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Sonia Cartagena DDS Inc	Dentist	Past	Accepting new patients
Julie Tran, DMD, Dental Corp	Dentist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	41897	CA	Yes

Addresses

Primary practice location

4183 Ball Rd
Cypress, CA 90630

Mailing address

4183 Ball Rd
Cypress, CA 90630
Phone (714) 827-2131

Other identifiers

Identifier	Type	State	Issuer
B41897	Medicaid	CA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2008.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1316124753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 BALL RD",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-827-2131",
            "fax_number": "714-827-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 BALL RD",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-827-2131",
            "fax_number": "714-827-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAGENA",
        "first_name": "SONIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B41897",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

All providers in Cypress, CA · Dentist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.