Alcira M Urrutia

Primary specialty

DentistTaxonomy code 122300000X

License

55679 Issued in CA

Practice address

1160 N Maclay Ave
Suite #107
San Fernando, CA 91340-5128

Phone

(818) 714-7714

NPI assigned

Oct 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Dentist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alcira Urrutia DDS Professional Corporation

  • Dentist
  • San Fernando, CA
  • NPI 1033485685
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1326236290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N MACLAY AVE",
            "address_2": "SUITE #107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913405128",
            "telephone_number": "818-714-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N MACLAY AVE",
            "address_2": "SUITE #107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913405128",
            "telephone_number": "818-714-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "ALCIRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Ubeda
• Karen Michelle Ugarte
• Philip Urbina, LCSW
• Frank David Uribe
• Rosa Valentina Uribe
• Munir M Uwaydah, MD
• Alvin Uybun, NP
• Anatoly Vaisman, DDS
• Cristal Jennesia Valdez-Orozco, M.A., PPS
• Julieta Valdez

• Dentist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.