Individual provider Active NPI

Maria Laura Arciniega, DDS

  • General Practice Dentistry
  • San Fernando, CA
National Provider Identifier
1568182053
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107933 Issued in CA
Practice address
732 Mott St Ste 100-110
San Fernando, CA 91340-4237
Phone
(818) 963-5690
Fax
(818) 361-3440
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 107933 CA Primary

Addresses

Primary practice location

732 Mott St Ste 100-110
San Fernando, CA 91340-4237

Mailing address

1008 N Orange Blossom Ave
La Puente, CA 91746-1238
Phone (626) 510-4129

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
107933CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Community Hospital PastSince Sep 4, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marciniega645168@direct.ochin.org
  • Direct secure messaging: marciniega686456@direct.ochin.org

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1568182053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N ORANGE BLOSSOM AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461238",
            "telephone_number": "626-510-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MOTT ST STE 100-110",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404237",
            "telephone_number": "818-963-5690",
            "fax_number": "818-361-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCINIEGA",
        "first_name": "MARIA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.