Engracia Samia Punzalan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

035021 Issued in CA

Practice address

2560 E Amar Rd Ste B2
West Covina, CA 91792-2234

Phone

(626) 912-8455

NPI assigned

Jan 12, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• R Galvan DMD Inc

  • Dental Clinic/Center
  • West Covina, CA
  • NPI 1275239063
  NPD (past)

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1366772477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 E AMAR RD STE B2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922234",
            "telephone_number": "626-912-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E AMAR RD STE B2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922234",
            "telephone_number": "626-912-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "ENGRACIA",
        "middle_name": "SAMIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "035021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primemed Medical Associates
• Project Raised
• Jennifer Mae Pruitt, PSY.D.
• Puente Hills Optometry Inc.
• Sandra Pulido
• Orval Gomez Punzalan, DMD
• Jennifer Purificacion, LMFT
• Joben Purificacion, LMFT
• Holly Putt, RDH
• Virginia Qi

• Dentist in West Covina, CA
• Providers in West Covina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.