Individual provider Active NPI

Sarah Santos-Rangsuebsin, D.D.S., M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Mirada, CA
National Provider Identifier
1336260686
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5508 Issued in WI
Practice address
12271 La Mirada Blvd Ste 202
La Mirada, CA 90638-1336
Phone
(562) 944-8877
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5508 WI Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS49404 CA

Addresses

Primary practice location

12271 La Mirada Blvd Ste 202
La Mirada, CA 90638-1336

Mailing address

12271 La Mirada Blvd Ste 202
La Mirada, CA 90638-1336
Phone (562) 944-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20181008003338 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325361074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DDS49404CAMDOrthodontics and Dentofacial Orthopedic Dentist
5508WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Dental Group, S.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1336260686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12271 LA MIRADA BLVD STE 202",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381336",
            "telephone_number": "562-944-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 LA MIRADA BLVD STE 202",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381336",
            "telephone_number": "562-944-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-RANGSUEBSIN",
        "first_name": "SARAH",
        "credential": "D.D.S., M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "5508",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS49404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.