Individual provider Active NPI

Sylvia Olivia Carlos, DDS

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1518497643
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106289 Issued in CA
Practice address
22032 El Paseo Ste 200
Rancho Santa Margarita, CA 92688-3947
Phone
(949) 589-3344
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32989 TX
General Practice Dentistry 1223G0001X 106289 CA Primary

Addresses

Primary practice location

22032 El Paseo Ste 200
Rancho Santa Margarita, CA 92688-3947

Mailing address

3612 Florista St
Los Alamitos, CA 90720-2423
Phone (562) 598-4207

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
106289CAMDMarriage & Family Therapist
32989TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvia Carlos DDS Inc General Practice Current Accepting new patients
Derick Pham DMD, Inc General Practice CurrentSince Aug 1, 2021 Accepting new patients
Pearl Dentistry PLLC General Practice PastSince Aug 1, 2020 Accepting new patients
Smile Workshop New Braunfels, PLLC Dentist PastSince May 28, 2023 Accepting new patients

Locations

3612 Florista St
Los Alamitos, CA 90720
Phone (562) 598-4207

22032 El Paseo
Ste 200
Rcho Sta Marg, CA 92688
Phone (949) 589-3344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1518497643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 FLORISTA ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202423",
            "telephone_number": "562-598-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22032 EL PASEO STE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883947",
            "telephone_number": "949-589-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "SYLVIA",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32989",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.