Active NPI
Sonia Tellez, RDA
- Dental Assistant
- North Hills, CA
National Provider Identifier
1366971962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 83486
- Practice address
- 15350 Nordhoff St Unit a
North Hills, CA 91343-2234 - Phone
- (818) 724-8416
- NPI assigned
- Jun 7, 2017
- Last updated
- Jun 7, 2017
- 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 | 83486 | CA | Primary |
Addresses
Primary practice location
15350 Nordhoff St Unit a
North Hills, CA 91343-2234
Mailing address
16124 Plummer St
North Hills, CA 91343-2068
Phone (818) 742-8188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83486 | 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 |
|---|---|---|---|
| 83486 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1366971962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16124 PLUMMER ST",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432068",
"telephone_number": "818-742-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15350 NORDHOFF ST UNIT A",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432234",
"telephone_number": "818-724-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "SONIA",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "83486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83486",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.