Individual provider Active NPI

Marcela Ayala Arizmendi, D.D.S

  • Dentist
  • Anaheim, CA
National Provider Identifier
1346519782
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61047 Issued in CA
Practice address
1719 W Rpmneya Dr
Anaheim, CA 92801
Phone
(714) 991-3900
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61047 CA Primary

Addresses

Primary practice location

1719 W Rpmneya Dr
Anaheim, CA 92801

Mailing address

1817 W Neighbors Ave Apt 1
Anaheim, CA 92801-2781
Phone (916) 718-6655

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XOtherCAHEALTH CARE PROVIDER TAXONOMY CODE SET

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala Marcela DDS Corp Current Accepting new patients
Ayala Arizmendi Dental Corporation Dentist Current Accepting new patients
Southern California Eye Consultants Inc. PastSince Jan 2, 2014 Accepting new patients
Ibrahim Al-Qawaqneh DDS, Inc. Dentist Past Accepting new patients

Organizations & group practices 4

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1346519782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 W NEIGHBORS AVE APT 1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012781",
            "telephone_number": "916-718-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W RPMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-991-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA ARIZMENDI",
        "first_name": "MARCELA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER TAXONOMY CODE SET",
            "identifier": "1223G0001X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.