Individual provider Active NPI

Ellie Parajon-Aflatoon

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1558867473
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS54077 Issued in CA
Practice address
10500 Magnolia Ave Ste A1A1
Anaheim, CA 92804-5817
Phone
(949) 836-2796
NPI assigned
Mar 30, 2018
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS54077 CA Primary

Addresses

Primary practice location

10500 Magnolia Ave Ste A1A1
Anaheim, CA 92804-5817

Mailing address

54 Renata
Newport Coast, CA 92657-1231
Phone (949) 836-2796

Other practice location 1

54 Renata
Newport Coast, CA 92657-1231
Phone (949) 836-2796

Other names 1

  • Dr. Ellie Parajon-Aflatoon Professional name

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
DDS54077CAMDGeneral Practice Dentistry

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, 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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1558867473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 RENATA",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571231",
            "telephone_number": "949-836-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MAGNOLIA AVE STE A1A1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045817",
            "telephone_number": "949-836-2796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Renata",
            "address_purpose": "LOCATION",
            "city": "Newport Coast",
            "state": "CA",
            "postal_code": "926571231",
            "country_code": "US",
            "telephone_number": "949-836-2796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARAJON-AFLATOON",
        "first_name": "ELLIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS54077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "PARAJON-AFLATOON",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.