Individual provider Active NPI

Eduardo Molina Almazan, DDS

  • General Practice Dentistry
  • Pacoima, CA
National Provider Identifier
1407551716
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108693 Issued in CA
Practice address
10750 Glenoaks Blvd Ste 6
Pacoima, CA 91331-7276
Phone
(818) 686-1400
Fax
(818) 686-1411
NPI assigned
Apr 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108693 CA Primary

Addresses

Primary practice location

10750 Glenoaks Blvd Ste 6
Pacoima, CA 91331-7276

Mailing address

10750 Glenoaks Blvd Ste 6
Pacoima, CA 91331-7276
Phone (818) 686-1400

Other practice location 1

17756 Saticoy St
Reseda, CA 91335-3381
Phone (818) 705-4700

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

LicenseStateTypeSpecialty
108693CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arnulfo Molina Professional Dental Corporation PastSince Dec 15, 2024 Accepting new patients
Arnulfo Molina Professional Dental Corporation General Practice PastSince Apr 1, 2023 Accepting new patients
Untalan Dental Corporation General Practice PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1407551716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 GLENOAKS BLVD STE 6",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913317276",
            "telephone_number": "818-686-1400",
            "fax_number": "818-686-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 GLENOAKS BLVD STE 6",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913317276",
            "telephone_number": "818-686-1400",
            "fax_number": "818-686-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17756 Saticoy St",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913353381",
            "country_code": "US",
            "telephone_number": "818-705-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA ALMAZAN",
        "first_name": "EDUARDO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.