Pravay Padia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107016 Issued in CA

Practice address

12271 La Mirada Blvd Ste 201
La Mirada, CA 90638-1336

Phone

(626) 780-0397

NPI assigned

Sep 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1427720549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 VIA ARBOLADA UNIT 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425124",
            "telephone_number": "626-780-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 LA MIRADA BLVD STE 201",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381336",
            "telephone_number": "626-780-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADIA",
        "first_name": "PRAVAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omega, Inc.
• Op Pharmacy LLC
• Orange County Care Providers,Inc.
• Alison Ozaki, DDS
• Mark Ozaki, D.D.S.
• Kathleen Segura Pangilinan, RDH ; RDHAP
• Park Cho Dental Partnership
• Jeung Hyun Park, L.AC
• Marisa Park
• Sehjin Park

• General Practice Dentistry in La Mirada, CA
• Providers in La Mirada, 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 Sep 28, 2021; 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.