Rebecca Irene Alcazaren Pena, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

49181 Issued in CA

Practice address

5445 Del Amo Blvd
Suite 103
Lakewood, CA 90712-2760

Phone

(562) 920-1726

Fax

(562) 920-1728

NPI assigned

Aug 2, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mrs. Rebecca Irene Alcazaren Ware Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebecca Irene a Pena D M D a Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, CA
  • NPI 1306190095
  Authorized official Same address or phone

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457368425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD",
            "address_2": "SUITE 103",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122760",
            "telephone_number": "562-920-1726",
            "fax_number": "562-920-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DEL AMO BLVD",
            "address_2": "SUITE 103",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122760",
            "telephone_number": "562-920-1726",
            "fax_number": "562-920-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "REBECCA IRENE",
        "middle_name": "ALCAZAREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "49181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DENTICAL ST OF CA",
            "identifier": "G9242401",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1416870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FAMILIES",
            "identifier": "B4918101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA IRENE",
            "last_name": "WARE",
            "middle_name": "ALCAZAREN",
            "prefix": "MRS.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Paulin
• Judy Pawid
• Patricia D Payne
• Jennifer Peart, FNP
• Marlon Donasco Pelayo, RD
• Carlen Penuliar
• Maria Peralta
• Adela Peratoner, PT
• Jocelyn Aracely Peraza, PHARMD
• Rebecca Desiree Perez-Rodriguez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.