Active NPI
Jonathan Plascencia
- Pediatric Dentistry
- Porterville, CA
National Provider Identifier
1326722141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS112689
- Practice address
- 1150 W Henderson Ave
Porterville, CA 93257-1453 - Phone
- (415) 502-5800
- Fax
- (415) 476-3448
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS112689 | CA | Primary |
Addresses
Primary practice location
1150 W Henderson Ave
Porterville, CA 93257-1453
Mailing address
1267 13TH St
Imperial Beach, CA 91932-3610
Phone (619) 864-5362
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1326722141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 13TH ST",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919323610",
"telephone_number": "619-864-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W HENDERSON AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932571453",
"telephone_number": "415-502-5800",
"fax_number": "415-476-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASCENCIA",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS112689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
- Philip Warren Early MD a Medical Comp
- Slate Phillips
- Alexander Pilkinton III, PSCHY. TECH.
- Rudolph D Pina, SUD COUNSELOR
- Pioneer Home Outreach, Inc.
- Pleasant View Elementary School District
- Cleon Plummer, DDS
- Phillip Polster, OD
- Sherlyn Ricablanca Porter, PPS., LCSW
- Porterville Adult Day Health Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.