Active NPI
Maital Citron
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1376395103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111687
- Practice address
- 2050 El Cajon Blvd
San Diego, CA 92104-1007 - Phone
- (619) 637-9774
- NPI assigned
- Apr 4, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111687 | CA | Primary |
Addresses
Primary practice location
2050 El Cajon Blvd
San Diego, CA 92104-1007
Mailing address
521 Arbor Dr Unit 201
San Diego, CA 92103-7434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925002635 | CA | Order and Referring Only - Dentist | 2264937788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinderberger Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- San Diego, CA
- NPI 1750933610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754092800000",
"number": "1376395103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 ARBOR DR UNIT 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921037434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041007",
"telephone_number": "619-637-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITRON",
"first_name": "MAITAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.