Christa Soryal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

110731 Issued in CA

Practice address

6961 Schaefer Ave
Chino, CA 91710-9126

Phone

(909) 590-0640

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Paul Park Dental Corporation

  dba Dentists of Chino Preserve

  • General Practice Dentistry
  • Chino, CA
  • NPI 1538910963
  NPD (past)
• Sambangi and Rodgers Dental Corporation

  dba Chino Smiles Dental Group

  • General Practice Dentistry
  • Chino, CA
  • NPI 1639322001
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1417633439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 COTTONWOOD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924721",
            "telephone_number": "949-310-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 SCHAEFER AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109126",
            "telephone_number": "909-590-0640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8415 Pine Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917089640",
            "country_code": "US",
            "telephone_number": "909-757-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORYAL",
        "first_name": "CHRISTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "110731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Solleder, FNP
• Claudia Elizabeth Somoano, LMFT
• David Song
• Su Yong Song, L.AC
• Soo Youn Kim OD Inc (Fashion Eyes Optometry)
• Priscilla Esther Sosa
• Sotara Manalo Rico Professional Medical Corporation
• South Coast Children's Society, Inc (Hope Healing Connection)
• South Coast Children's Society, Inc. (South Coast Community Services)
• Southern California Injury Treatment Center

• Dentist in Chino, CA
• Providers in Chino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.