Teresa Martha Avendano-Galvez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37079 Issued in CA

Practice address

1451 W Artesia Blvd
Suite #6
Gardena, CA 90248-3232

Phone

(310) 323-0290

Fax

(310) 323-7670

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Teresa Avendano-Galvez DMD Inc

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1033756465
  NPD Authorized official
• Teresa M. Avendano-Galvez,DMD, a Professional Corporation

  • General Practice Dentistry
  • Gardena, CA
  • NPI 1831307610
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1407801871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W ARTESIA BLVD",
            "address_2": "SUITE #6",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483232",
            "telephone_number": "310-323-0290",
            "fax_number": "310-323-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W ARTESIA BLVD",
            "address_2": "SUITE #6",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483232",
            "telephone_number": "310-323-0290",
            "fax_number": "310-323-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENDANO-GALVEZ",
        "first_name": "TERESA",
        "middle_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B37079-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Paul Austin
• Julianne Austria
• Gloria Avalos
• Ruby Avalos
• Pablo Avellan
• Amayrani Avila-Alvarado
• Claudia Avila
• Vanessa Avila
• Leslie Aviles
• Temitope Awosika

• General Practice Dentistry in Gardena, CA
• Providers in Gardena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.