Active NPI
Lina Isabel Galofre II, DDS
- General Practice Dentistry
- Irvine, CA
National Provider Identifier
1467917161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 103520
- Practice address
- 27 Willow Tree LN
Irvine, CA 92612-2253 - Phone
- (619) 414-7141
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 103520 | CA | Primary |
Addresses
Primary practice location
27 Willow Tree LN
Irvine, CA 92612-2253
Mailing address
27 Willow Tree LN
Irvine, CA 92612-2253
Phone (619) 414-7141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G416529589280 | Other | FL | DRIVER LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galofre Dental Services LLC | Current | Accepting new patients | |
| Lina Isabel Galofre DDS Apc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- San Petersburg, FL
- NPI 1679426092
-
- Dentist
- Riverside, CA
- NPI 1962104067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1467917161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WILLOW TREE LN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122253",
"telephone_number": "619-414-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WILLOW TREE LN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122253",
"telephone_number": "619-414-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALOFRE",
"first_name": "LINA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "103520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "G416529589280",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.