Active NPI
Debora Cordova
- Dental Assistant
- Arcadia, CA
National Provider Identifier
1326286782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 69896
- Practice address
- 440 E Huntington Dr
Suite 101
Arcadia, CA 91006-3776 - Phone
- (626) 447-5126
- NPI assigned
- Jan 22, 2009
- 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 Assistant | 126800000X | 69896 | CA | Primary |
Addresses
Primary practice location
440 E Huntington Dr
Suite 101
Arcadia, CA 91006-3776
Mailing address
440 E Huntington Dr
Suite 101
Arcadia, CA 91006-3776
Phone (626) 447-5126
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 |
|---|---|---|---|
| 69896 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.Manavi,D.D.S.,Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Arcadia, CA
- NPI 1558585109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1326286782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E HUNTINGTON DR",
"address_2": "SUITE 101",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063776",
"telephone_number": "626-447-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 E HUNTINGTON DR",
"address_2": "SUITE 101",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063776",
"telephone_number": "626-447-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "DEBORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "69896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.