Active NPI
Karla Vanesa Cehua
- Dental Assistant
- San Pedro, CA
National Provider Identifier
1477878148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 423N. Meyler St.
San Pedro, CA 90731 - Phone
- (310) 325-8888
- Fax
- (310) 325-3024
- NPI assigned
- Apr 6, 2010
- 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 | CA | Primary |
Addresses
Primary practice location
423N. Meyler St.
San Pedro, CA 90731
Mailing address
423 N. Meyler
San Pedro, CA 90731
Phone (310) 325-8888
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1477878148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N. MEYLER",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "90731",
"telephone_number": "310-325-8888",
"fax_number": "310-325-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423N. MEYLER ST.",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "90731",
"telephone_number": "310-325-8888",
"fax_number": "310-325-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEHUA",
"first_name": "KARLA",
"middle_name": "VANESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.