Active NPI
Egla Ivonne Barahona, D.A
- Dental Assistant
- Torrance, CA
National Provider Identifier
1477787869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 2968
- Practice address
- 3820 Sepulveda Blvd
Torrance, CA 90505-2408 - Phone
- (310) 792-5200
- NPI assigned
- May 13, 2009
- Last updated
- May 13, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 2968 | CA | Primary |
Addresses
Primary practice location
3820 Sepulveda Blvd
Torrance, CA 90505-2408
Mailing address
20440 Anza Ave Unit 230
Torrance, CA 90503-2381
Phone (310) 729-9935
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2968 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1477787869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20440 ANZA AVE UNIT 230",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905032381",
"telephone_number": "310-729-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052408",
"telephone_number": "310-792-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAHONA",
"first_name": "EGLA",
"middle_name": "IVONNE",
"name_prefix": "Mrs.",
"credential": "D.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "2968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.