Monica Latrice Wade

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

68982 Issued in CA

Practice address

44558 10TH Street West
Lancaster, CA 93534

Phone

(310) 820-9933

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Farid Pakravan Professional Dental Corporation

  dba Family Dental Practice of Lancaster

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1922283936
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1386977247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 VIANA DR.",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93550",
            "telephone_number": "661-267-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44558 10TH STREET WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "310-820-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "MONICA",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "68982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Lee Voytish
• Vrej Shahmoradian D.D.S. Inc.
• Vu & Shaghoyan an Optometric Professional Corporation (Lancaster Optometry)
• Lam D Vu, D.M.D
• Eric Minoru Wada, DDS
• Mecca Wady-Wesley, LVN
• Stephanie Wagner
• Hussam Wahbi
• Wal-Mart Stores, Inc. (Vision Center 30-2951)
• Wal-Mart Stores, Inc. (Vision Center 30-1563)

• Dental Assistant in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.