Individual provider Active NPI

Aditi Parey, DDS

  • Dentist
  • Ontario, CA
National Provider Identifier
1558036053
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS106491 Issued in CA
Practice address
3480 E Ontario Ranch Rd Ste 5
Ontario, CA 91761-3920
Phone
(909) 284-4413
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS106491 CA Primary

Addresses

Primary practice location

3480 E Ontario Ranch Rd Ste 5
Ontario, CA 91761-3920

Mailing address

3201 Yorba Linda Blvd Apt 117
Fullerton, CA 92831-1760

Other practice location 1

1875 N Campus Ave Ste C
Upland, CA 91784-8211
Phone (909) 242-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814005032 CA Practitioner - Dentist 5597203067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106491CAMDMarriage & Family Therapist
DDS106491CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Rittu Gill, D.D.S., Inc. CurrentSince Oct 24, 2021 Accepting new patients
Mission City Community Network, Inc. CurrentSince Jul 22, 2024 Accepting new patients

Locations

8527 Sepulveda Blvd
North Hills, CA 91343
Phone (310) 926-4865

3480 E Ontario Ranch Rd
Ste 5
Ontario, CA 91761
Phone (240) 361-7601

15206 Parthenia St
Sepulveda, CA 91343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1558036053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 YORBA LINDA BLVD APT 117",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 E ONTARIO RANCH RD STE 5",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613920",
            "telephone_number": "909-284-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 N Campus Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917848211",
            "country_code": "US",
            "telephone_number": "909-242-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREY",
        "first_name": "ADITI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.