Individual provider Active NPI

Adonis Ramos Mungcal, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1518038470
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38566 Issued in CA
Practice address
255 South Grand Avenue
Ste 204
Los Angeles, CA 90012
Phone
(213) 863-9464
Fax
(213) 620-8963
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38566 CA Primary

Addresses

Primary practice location

255 South Grand Avenue
Ste 204
Los Angeles, CA 90012

Mailing address

255 South Grand Ave
Suite 204
Los Angeles, CA 90012
Phone (213) 620-5777

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
38566CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Don Mungcal DDS Brentwood Inc. CurrentSince May 1, 2025 Accepting new patients
Foothill Home Care Inc Current Accepting new patients
Don Ramos Mungcal DDS a Professional Corporation Dentist Current Accepting new patients
Don Mungcal, D.D.S., Inc. PastSince May 1, 2025 Accepting new patients

Locations

255 S Grand Ave
Ste 204
Los Angeles, CA 90012
Phone (213) 620-5777

Organizations & group practices 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1518038470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SOUTH GRAND AVE",
            "address_2": "SUITE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-620-5777",
            "fax_number": "213-620-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SOUTH GRAND AVENUE",
            "address_2": "STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-863-9464",
            "fax_number": "213-620-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGCAL",
        "first_name": "ADONIS",
        "middle_name": "RAMOS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38566",
            "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 25, 2025; 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.