Individual provider Active NPI

Martha Alicia Galaviz, D.D.S.

  • Dentist
  • Pico Rivera, CA
National Provider Identifier
1376880211
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44312 Issued in CA
Practice address
6505 Rosemead Blvd
Suite #200
Pico Rivera, CA 90660-3565
Phone
(562) 942-2144
Fax
(562) 942-0814
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44312 CA Primary

Addresses

Primary practice location

6505 Rosemead Blvd
Suite #200
Pico Rivera, CA 90660-3565

Mailing address

6505 Rosemead Blvd
Suite #200
Pico Rivera, CA 90660-3565
Phone (562) 942-2144

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

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1376880211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 ROSEMEAD BLVD",
            "address_2": "SUITE #200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603565",
            "telephone_number": "562-942-2144",
            "fax_number": "562-942-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 ROSEMEAD BLVD",
            "address_2": "SUITE #200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603565",
            "telephone_number": "562-942-2144",
            "fax_number": "562-942-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAVIZ",
        "first_name": "MARTHA",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.