Active NPI
Francisco Santiago Enverga, DMD
- Dentist
- South Gate, CA
National Provider Identifier
1356953517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105292
- Practice address
- 4424 Tweedy Blvd
South Gate, CA 90280-6304 - Phone
- (323) 564-2444
- NPI assigned
- Aug 19, 2020
- Last updated
- Aug 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105292 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 105292 | CA |
Addresses
Primary practice location
4424 Tweedy Blvd
South Gate, CA 90280-6304
Mailing address
1679 Morning Terrace Dr
Chino Hills, CA 91709-4834
Other practice location 1
9755 Alondra Blvd
Bellflower, CA 90706-3677
Phone (562) 565-2914
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": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1356953517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1679 MORNING TERRACE DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917094834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806304",
"telephone_number": "323-564-2444"
}
],
"practiceLocations": [
{
"address_1": "9755 Alondra Blvd",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907063677",
"country_code": "US",
"telephone_number": "562-565-2914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENVERGA",
"first_name": "FRANCISCO",
"middle_name": "SANTIAGO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-27",
"certification_date": "2020-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105292",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.