Active NPI
Israel Angeles Navarro, D.D.S.
- General Practice Dentistry
- Pasadena, CA
National Provider Identifier
1386626885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44956
- Practice address
- 80 N Lake Ave
103
Pasadena, CA 91101-5626 - Phone
- (626) 844-2955
- Fax
- (626) 844-2959
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 44956 | CA | Primary |
Addresses
Primary practice location
80 N Lake Ave
103
Pasadena, CA 91101-5626
Mailing address
80 N Lake Ave
103
Pasadena, CA 91101-5626
Phone (626) 844-2955
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44956 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Israel Navarro D. D. S., Inc. | 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.
-
dba Starbright Dental Office
- General Practice Dentistry
- Pasadena, CA
- NPI 1447475389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386626885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 N LAKE AVE",
"address_2": "103",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015626",
"telephone_number": "626-844-2955",
"fax_number": "626-844-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 N LAKE AVE",
"address_2": "103",
"city": "PASADENA",
"state": "CA",
"postal_code": "911015626",
"telephone_number": "626-844-2955",
"fax_number": "626-844-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "ISRAEL",
"middle_name": "ANGELES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.