NPIMap

Organization Active NPI

Pema Dental Care

Doing business as toluca dental care

  • Dental Clinic/Center
  • Toluca Lake, CA
National Provider Identifier
1407188204
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48536 Issued in CA
Legal business name
PEMA DENTAL CARE
Doing business as
toluca dental care
Practice address
10668 Riverside Dr
Toluca Lake, CA 91602-2319
Phone
(818) 760-9912
Fax
(818) 760-9913
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Nilesh Pema, D.D.SNPI 1538344833
Title
Owner
Phone
(818) 760-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48536 CA Primary

Addresses

Primary practice location

10668 Riverside Dr
Toluca Lake, CA 91602-2319

Mailing address

10668 Riverside Dr
Toluca Lake, CA 91602-2319
Phone (818) 760-9912

Other names 1

  • toluca dental care Doing business as

National Provider Directory

National Provider Directory

Locations

10668 Riverside Dr
Toluca Lake, CA 91602
Phone (818) 760-9912

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1407188204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10668 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-760-9912",
            "fax_number": "818-760-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10668 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-760-9912",
            "fax_number": "818-760-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "PEMA",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-760-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "toluca dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.