NPIMap

Organization Active NPI

Martin Galstuan Dental Corporation

Doing business as Dentists of South Pasadena Dental Group

  • Dentist
  • South Pasadena, CA
National Provider Identifier
1518319334
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARTIN GALSTUAN DENTAL CORPORATION
Doing business as
Dentists of South Pasadena Dental Group
Practice address
813 Fair Oaks Ave
South Pasadena, CA 91030-2605
Phone
(626) 593-0053
Fax
(626) 486-9959
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Dr. Martin A Galstyan, DDS
Title
Owner Dentist
Phone
(626) 593-0053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

813 Fair Oaks Ave
South Pasadena, CA 91030-2605

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Dentists of South Pasadena Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

813 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 593-0053

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1518319334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302605",
            "telephone_number": "626-593-0053",
            "fax_number": "626-486-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN GALSTUAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "626-593-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of South Pasadena Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.