Individual provider Active NPI

Shellaine Alonsagay-del Campo, DMD

  • General Practice Dentistry
  • Mission Viejo, CA
National Provider Identifier
1477725034
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45850 Issued in CA
Practice address
27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708
Phone
(949) 951-0951
NPI assigned
Mar 24, 2008
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45850 CA Primary

Addresses

Primary practice location

27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708

Mailing address

27725 Santa Margarita Pkwy Ste 270
Mission Viejo, CA 92691-6708

Other names 1

  • Shellaine Alonsagay Del Campo Other name

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
I20241218001439 CA Practitioner - Oral SurgeryPractitioner - Dentist 9234437914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45850CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shellaine a del Campo Ad Sedation & Implant Dentistry CurrentSince Nov 10, 2024 Accepting new patients
Mikaeya Kalantari Dental Corporation Past Accepting new patients
Zaery Kalantari Dental Group Inc General Practice Past Accepting new patients

Locations

113 Waterworks Way
Ste 220
Irvine, CA 92618
Phone (949) 418-7339

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1477725034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY STE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916708",
            "telephone_number": "949-951-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSAGAY-DEL CAMPO",
        "first_name": "SHELLAINE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLAINE",
            "last_name": "DEL CAMPO",
            "middle_name": "ALONSAGAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.