Organization Active NPI

Guadalupe L Pereira DMD Apc

  • Dentist
  • Carson, CA
National Provider Identifier
1437217783
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41515 Issued in CA
Legal business name
GUADALUPE L PEREIRA DMD APC
Practice address
144 W Carson St
Carson, CA 90745-2601
Phone
(310) 847-7777
Fax
(310) 835-0199
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Maria Teresa Carretta
Title
Administrative Assistant
Phone
(562) 715-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41515 CA Primary

Addresses

Primary practice location

144 W Carson St
Carson, CA 90745-2601

Mailing address

144 W. Carson St., Carson, Ca 90745
Carson, CA 90745
Phone (310) 847-7777

Other names 1

  • Holy Angels Family Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL holyangelsfamily@gmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Guadalupe L Pereira a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1437217783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W. CARSON ST., CARSON, CA 90745",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-847-7777",
            "fax_number": "310-835-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452601",
            "telephone_number": "310-847-7777",
            "fax_number": "310-835-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE L PEREIRA DMD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CARRETTA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "562-715-6135"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "holyangelsfamily@gmail.com",
            "affiliation": "N",
            "endpointDescription": "dental office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "144 W Carson St",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907452601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Holy Angels Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holy Angels Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.