Active NPI
Alma Carbonell Robles, DMD
- Dentist
- Los Angeles, CA
National Provider Identifier
1508849241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36603
- Practice address
- 3875 Wilshire Blvd
Suite 1301
Los Angeles, CA 90010-3205 - Phone
- (213) 383-5047
- Fax
- (213) 383-3947
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | B36603 | CA | |
| Dentist | 122300000X | 36603 | CA | Primary |
Addresses
Primary practice location
3875 Wilshire Blvd
Suite 1301
Los Angeles, CA 90010-3205
Mailing address
4751 Wilshire Blvd Ste 203C
Los Angeles, CA 90010-3860
Phone (213) 383-5047
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 |
|---|---|---|---|
| B36603 | CA | MD | General Practice Dentistry |
| 36603 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1508849241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 WILSHIRE BLVD STE 203C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103860",
"telephone_number": "213-383-5047",
"fax_number": "233-847-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 WILSHIRE BLVD",
"address_2": "SUITE 1301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103205",
"telephone_number": "213-383-5047",
"fax_number": "213-383-3947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "ALMA",
"middle_name": "CARBONELL",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "B36603",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36603",
"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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.