Individual provider Active NPI

Pacita Dionisio Franco, D.D.S.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1336200237
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40227 Issued in CA
Practice address
324 N Allen Ave
Pasadena, CA 91106-1604
Phone
(626) 795-6566
Fax
(888) 384-5945
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 40227 CA Primary

Addresses

Primary practice location

324 N Allen Ave
Pasadena, CA 91106-1604

Mailing address

324 N Allen Ave
Pasadena, CA 91106-1604
Phone (626) 795-6566

Other identifiers 3

IdentifierTypeStateIssuer
B40227-03MedicaidCA
889370OtherCAUNITED CONCORDIA
ZQB540OtherCABCBS OF MASSACHUSETTES

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160728001845 CA Order and Referring Only - DentistPractitioner - Dentist 1254624257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40227CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Franco Family Dental Inc Current Accepting new patients
Pacita D. Franco, D.D.S., Inc. Past Accepting new patients

Locations

610 E Route 66
Glendora, CA 91740
Phone (626) 335-7727

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1336200237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N ALLEN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061604",
            "telephone_number": "626-795-6566",
            "fax_number": "888-384-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N ALLEN AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061604",
            "telephone_number": "626-795-6566",
            "fax_number": "888-384-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCO",
        "first_name": "PACITA",
        "middle_name": "DIONISIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B40227-03",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "889370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASSACHUSETTES",
            "identifier": "ZQB540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.