Individual provider Active NPI

Miguel Angel Cantero, RDA EF

  • Dental Assistant
  • Torrance, CA
National Provider Identifier
1508002668
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
44265 Issued in CA
Practice address
1730 Sepulveda Blvd
Suite #1
Torrance, CA 90501-5645
Phone
(310) 325-8888
Fax
(310) 325-3024
NPI assigned
Dec 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 44265 CA Primary

Addresses

Primary practice location

1730 Sepulveda Blvd
Suite #1
Torrance, CA 90501-5645

Mailing address

1730 Sepulveda Blvd
Suite #1
Torrance, CA 90501-5645
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

State licenses

LicenseStateTypeSpecialty
44265CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Coehn-Sedgh, D.D.S., Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1508002668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SEPULVEDA BLVD",
            "address_2": "SUITE #1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015645",
            "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": "1730 SEPULVEDA BLVD",
            "address_2": "SUITE #1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015645",
            "telephone_number": "310-325-8888",
            "fax_number": "310-325-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "RDA EF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "44265",
            "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 Dec 19, 2008; 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.