Active NPI
Jackie Annette Ochoa
- Dental Assistant
- Orange, CA
National Provider Identifier
1407093800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 60389
- Practice address
- 179 N Tustin St
Orange, CA 92867-7716 - Phone
- (714) 288-1035
- Fax
- (714) 288-2784
- NPI assigned
- Jan 7, 2009
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 60389 | CA | Primary |
Addresses
Primary practice location
179 N Tustin St
Orange, CA 92867-7716
Mailing address
7001 Walker Ave
#D
Bell, CA 90201-2942
Phone (323) 636-6680
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60389 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pakravan Dental Corporation | 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
- Orange, CA
- NPI 1073737524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1407093800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 WALKER AVE",
"address_2": "#D",
"city": "BELL",
"state": "CA",
"postal_code": "902012942",
"telephone_number": "323-636-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677716",
"telephone_number": "714-288-1035",
"fax_number": "714-288-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA",
"first_name": "JACKIE",
"middle_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "60389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.