Individual provider Active NPI

Belgica Raquel Juarez Dardon, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1538093133
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
113055 Issued in CA
Practice address
1655 S Western Ave Ste C
Los Angeles, CA 90006-5801
Phone
(323) 529-0002
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 113055 CA Primary

Addresses

Primary practice location

1655 S Western Ave Ste C
Los Angeles, CA 90006-5801

Mailing address

1655 S Western Ave Ste C
Los Angeles, CA 90006-5801

Other practice location 1

9150 Painter Ave Ste 105A
Whittier, CA 90602-1160
Phone (562) 378-0200

Other practice location 2

11215 Long Beach Blvd # 1002
Lynwood, CA 90262-4292
Phone (323) 515-1088

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rody Paz Casanova Dental Inc. PastSince Jan 26, 2023 Accepting new patients

Organizations & group practices 1

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": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1538093133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 S WESTERN AVE STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 S WESTERN AVE STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065801",
            "telephone_number": "323-529-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Painter Ave Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021160",
            "country_code": "US",
            "telephone_number": "562-378-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11215 Long Beach Blvd # 1002",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902624292",
            "country_code": "US",
            "telephone_number": "323-515-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ DARDON",
        "first_name": "BELGICA",
        "middle_name": "RAQUEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "113055",
            "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 Jun 9, 2026; 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.