Emmanuel Marasigan Tayag

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

62115 Issued in CA

Practice address

4000 La Rica Ave Ste D
Baldwin Park, CA 91706-3163

Phone

(626) 430-9171

NPI assigned

Mar 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cohen Sedgh, Manavi & Pakravan Dental Corporation

  dba West Coast Dental Group of Baldwin Park

  • Dentist
  • Baldwin Park, CA
  • NPI 1356686679
  NPD (past)
• Ryan Sein Chein Lee DDS Inc

  dba West Coast Dental Group of Baldwin Park

  • General Practice Dentistry
  • Baldwin Park, CA
  • NPI 1285858548
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1528643632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S GREENWOOD AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405515",
            "telephone_number": "310-216-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LA RICA AVE STE D",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063163",
            "telephone_number": "626-430-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYAG",
        "first_name": "EMMANUEL",
        "middle_name": "MARASIGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "62115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris W. Tang, MD
• Darlene A Tang, LCSW
• Nora Chan Tang, PT
• Matthew Tanoue
• Martha E. Tasinga, MD
• Erica J Taylor, IMF
• Jacob Lee Taylor
• Phillip A. Taylor, MD
• Terry Ann Taylor, LICENSED CLINICAL SO
• Natwarlal B. Tejura, MD

• Dental Assistant in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.