Organization Active NPI

RW McComb Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Culver City, CA
National Provider Identifier
1467394999
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RW MCCOMB DENTAL CORP
Practice address
11058 Washington Blvd
Culver City, CA 90232-3923
Phone
(310) 299-8894
Fax
(424) 299-4320
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Jaquelyn Cernas
Title
Financial Manager
Phone
(310) 299-8894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

11058 Washington Blvd
Culver City, CA 90232-3923

Mailing address

11058 Washington Blvd
Culver City, CA 90232-3923
Phone (310) 299-8894

Other practice location 1

926 N Sycamore Ave
Los Angeles, CA 90038-2300
Phone (310) 299-8894

National Provider Directory

National Provider Directory
Tax ID family
McComb Orthodontics2 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.

Locations

926 N Sycamore Ave
Los Angeles, CA 90038
Phone (310) 299-8894

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": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1467394999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11058 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323923",
            "telephone_number": "310-299-8894",
            "fax_number": "424-299-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11058 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323923",
            "telephone_number": "310-299-8894",
            "fax_number": "424-299-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 N Sycamore Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900382300",
            "country_code": "US",
            "telephone_number": "310-299-8894",
            "fax_number": "424-855-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RW MCCOMB DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "CERNAS",
        "authorized_official_first_name": "JAQUELYN",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "310-299-8894"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.