Active NPI
Ricardo Antonio Ayala
- Student in an Organized Health Care Education/Training Program
- Visalia, CA
National Provider Identifier
1518608751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 501 N Bridge St
Visalia, CA 93291-5014 - Phone
- (877) 960-3426
- NPI assigned
- Apr 3, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Public Health Dentistry | 1223D0001X | 1111111 | WA |
Addresses
Primary practice location
501 N Bridge St
Visalia, CA 93291-5014
Mailing address
24570 Stewart St Apt H10
Loma Linda, CA 92354-2700
Phone (425) 533-7131
Other practice location 1
24570 Stewart St Apt H10
Loma Linda, CA 92354-2700
Phone (425) 533-7131
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 |
|---|---|---|---|
| 1111111 | WA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1518608751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24570 STEWART ST APT H10",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542700",
"telephone_number": "425-533-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N BRIDGE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915014",
"telephone_number": "877-960-3426"
}
],
"practiceLocations": [
{
"address_1": "24570 Stewart St Apt H10",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542700",
"country_code": "US",
"telephone_number": "425-533-7131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYALA",
"first_name": "RICARDO",
"middle_name": "ANTONIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-03",
"last_updated": "2022-04-03",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "WA",
"license": "1111111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.