Individual provider Active NPI

Emilyn Dolores Santos Asinas

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bakersfield, CA
National Provider Identifier
1447909353
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
110383 Issued in CA
Practice address
9510 Hageman Rd
Bakersfield, CA 93312-3953
Phone
(661) 829-2700
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 110383 CA Primary

Addresses

Primary practice location

9510 Hageman Rd
Bakersfield, CA 93312-3953

Mailing address

22308 Windriver CT
Santa Clarita, CA 91350-8559

Other practice location 1

27891 Smyth Dr Unit A
Valencia, CA 91355-4011
Phone (661) 295-8288

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250812000108 CA Order and Referring Only - DentistPractitioner - Dentist 3577061399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1447909353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22308 WINDRIVER CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913508559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 HAGEMAN RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123953",
            "telephone_number": "661-829-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27891 Smyth Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554011",
            "country_code": "US",
            "telephone_number": "661-295-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASINAS",
        "first_name": "EMILYN DOLORES",
        "middle_name": "SANTOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "110383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.