Active NPI
Estela Ramirez-Cotonieto I, RDA 58449
- Dental Assistant
- Covina, CA
National Provider Identifier
1366929481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 58449
- Practice address
- 1406 N Azusa Ave Ste C
Covina, CA 91722-1257 - Phone
- (626) 506-2216
- NPI assigned
- Jul 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 58449 | CA | Primary |
Addresses
Primary practice location
1406 N Azusa Ave Ste C
Covina, CA 91722-1257
Mailing address
3815 Baldwin Ave Apt 96
El Monte, CA 91731-1736
Phone (626) 825-0465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58449 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58449 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532131200000",
"number": "1366929481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 BALDWIN AVE APT 96",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311736",
"telephone_number": "626-825-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 N AZUSA AVE STE C",
"city": "COVINA",
"state": "CA",
"postal_code": "917221257",
"telephone_number": "626-506-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ-COTONIETO",
"first_name": "ESTELA",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "RDA 58449",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-21",
"last_updated": "2018-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "58449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58449",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.