Active NPI
Emily Vanessa Camacho, DDS
- General Practice Dentistry
- Lakewood, CA
National Provider Identifier
1427920230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS112310
- Practice address
- 2710 Carson St
Lakewood, CA 90712-4051 - Phone
- (562) 275-8113
- NPI assigned
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS112310 | CA | Primary |
Addresses
Primary practice location
2710 Carson St
Lakewood, CA 90712-4051
Mailing address
4690 W 142ND St
Hawthorne, CA 90250-6835
Phone (310) 948-7718
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS112310 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leong and Pandhoh Dental Corporation | General Practice | Current | Accepting new patients |
Locations
2710 Carson St
Lakewood, CA 90712
Phone (562) 275-8113
Organizations & group practices 1
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.
-
dba The Dental Office of Lakewood
- General Practice Dentistry
- Lakewood, CA
- NPI 1265082366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1427920230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4690 W 142ND ST",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902506835",
"telephone_number": "310-948-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 CARSON ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907124051",
"telephone_number": "562-275-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "EMILY",
"middle_name": "VANESSA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS112310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Thomas Calvert, M.D.
- Jessica E Calvillo, PHARM.D
- Juannique Campbell
- Nehemiah Campbell
- Michael Malabanan Canet, PMHNP-BC
- Ivy Oliveros Caparroso, NP
- Craig John Carbonniere Sr., P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.