Maria Elena Newcomer DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

44959 Issued in CA

Legal business name

MARIA ELENA NEWCOMER DDS INC

Practice address

847 W. 9TH St.
San Pedro, CA 90731

Phone

(510) 831-0804

Fax

(310) 831-5731

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Gabriela Coronado

Title

Office Manager

Phone

(310) 515-5505

Specialties & licenses 1

Addresses

Tax ID family

Maria Elena Newcomer DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maria Elena Newcomer DDS Inc

  • Dentist
  • Torrance, CA
  • NPI 1528448313
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Elena Newcomer, DDS

  • Dentist
  • Gardena, CA
  • NPI 1457474934
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1366960783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 W. 9TH ST.",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-831-0804",
            "fax_number": "310-831-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W. 9TH ST.",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "510-831-0804",
            "fax_number": "310-831-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ELENA NEWCOMER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-515-5505"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa U Manai
• Ra'Vonne Mandac
• Staicy Maravillas
• Vincent Matthew Mardesich, DDS.
• Marisa Mares, PH.D.
• Marine Therapeutic
• Yvonne Marinkovich, D.C.
• Mark Perez , M.D.
• Mark Perez MD
• Donna Revae Mark

• Dentist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.