Individual provider Active NPI

Febelyn Gaces Ballungay

  • Dental Assistant
  • Torrance, CA
National Provider Identifier
1538306170
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
65117 Issued in CA
Practice address
21229 Hawthorne Blvd Ste a
Torrance, CA 90503-5501
Phone
(310) 792-5600
Fax
(310) 792-5628
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 65117 CA Primary

Addresses

Primary practice location

21229 Hawthorne Blvd Ste a
Torrance, CA 90503-5501

Mailing address

2066 Caspian Ave
Long Beach, CA 90810-4163
Phone (310) 792-5600

Other identifiers 1

IdentifierTypeStateIssuer
65117OtherCARDA LICENSE

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
65117CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pooja Aswani DDS Inc Past Accepting new patients
Cohen Sedgh, Manavi & Pakravan Dental Corporation Past Accepting new patients

Organizations & group practices 2

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1538306170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 CASPIAN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908104163",
            "telephone_number": "310-792-5600",
            "fax_number": "310-792-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21229 HAWTHORNE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035501",
            "telephone_number": "310-792-5600",
            "fax_number": "310-792-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLUNGAY",
        "first_name": "FEBELYN",
        "middle_name": "GACES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "65117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDA LICENSE",
            "identifier": "65117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.