Manuel Angel Savedra, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24202 Issued in CA

Practice address

4332 Slauson Ave
Maywood, CA 90270-2848

Phone

(323) 771-7777

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336359496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SEADRIFT DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484163",
            "telephone_number": "714-536-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 SLAUSON AVE",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702848",
            "telephone_number": "323-771-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVEDRA",
        "first_name": "MANUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hari K Reddy, DDS
• Ricardo E Chambi MD (Clinica Medica de la Caridad)
• Stephanie Jasmine Rosas
• Ruben S. Casabar, M.D, Inc.
• Yasmin Saleh
• Mia Xin Shan
• Shane Medical Office a Professional Corporation (Maywood Urgent Care)
• Erick Solera, PTA
• Kevin Soohoo, PHARMD, LAC
• Tao Trung Nguyen M.D., Inc

• General Practice Dentistry in Maywood, CA
• Providers in Maywood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.