NPIMap

Organization Active NPI

Norma a Baca DDS,Inc

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1487055943
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27866 Issued in CA
Legal business name
NORMA A BACA DDS,INC
Practice address
1919 Beverly Blvd
Suite a
Los Angeles, CA 90057-2401
Phone
(231) 484-2165
Fax
(213) 484-0162
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Norma Amparo Baca, DDSNPI 1720127962
Title
Owner
Phone
(213) 484-2165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27866 CA Primary

Addresses

Primary practice location

1919 Beverly Blvd
Suite a
Los Angeles, CA 90057-2401

Mailing address

1919 Beverly Blvd
Suite a
Los Angeles, CA 90057-2401
Phone (231) 484-2165

National Provider Directory

National Provider Directory

Locations

1919 Beverly Blvd
#A
Los Angeles, CA 90057
Phone (213) 484-2919

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": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1487055943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BEVERLY BLVD",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572401",
            "telephone_number": "231-484-2165",
            "fax_number": "213-484-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BEVERLY BLVD",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572401",
            "telephone_number": "231-484-2165",
            "fax_number": "213-484-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA A BACA DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "AMPARO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-484-2165",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.