NPIMap

Organization Active NPI

Ana M. Gajardo, DDS, Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1396934808
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
31263 Issued in CA
Legal business name
ANA M. GAJARDO, DDS, INC.
Practice address
5415 Whittier Blvd
Los Angeles, CA 90022-4101
Phone
(323) 722-4371
Fax
(323) 722-4703
NPI assigned
Oct 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Authorized official

Name
Dr. Ana Maria Gajardo, DDS
Title
President
Phone
(323) 722-4371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 31263 CA Primary

Addresses

Primary practice location

5415 Whittier Blvd
Los Angeles, CA 90022-4101

Mailing address

5415 Whittier Blvd
Los Angeles, CA 90022-4101
Phone (323) 722-4371

National Provider Directory

National Provider Directory

Locations

5415 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 722-4371

NPI Registry JSON

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

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1396934808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224101",
            "telephone_number": "323-722-4371",
            "fax_number": "323-722-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224101",
            "telephone_number": "323-722-4371",
            "fax_number": "323-722-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA M. GAJARDO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "GAJARDO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-722-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "31263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.