Organization Active NPI

Maria Pilar Bernardo DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1588703300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50571 Issued in CA
Legal business name
MARIA PILAR BERNARDO DDS INC
Practice address
4331 W Sunset Blvd
Los Angeles, CA 90029-2111
Phone
(323) 660-2011
Fax
(323) 660-3788
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Pilar Bernardo, DDS
Title
Dentist Owner
Phone
(323) 660-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50571 CA Primary

Addresses

Primary practice location

4331 W Sunset Blvd
Los Angeles, CA 90029-2111

Mailing address

4331 W Sunset Blvd
Los Angeles, CA 90029-2111
Phone (323) 660-2011

Other identifiers 1

IdentifierTypeStateIssuer
G94065 01OtherCADENTI CAL

National Provider Directory

National Provider Directory

Locations

4331 W Sunset Blvd
Los Angeles, CA 90029
Phone (323) 660-2011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588703300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292111",
            "telephone_number": "323-660-2011",
            "fax_number": "323-660-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292111",
            "telephone_number": "323-660-2011",
            "fax_number": "323-660-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA PILAR BERNARDO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNARDO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PILAR",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "323-660-2011",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "G94065 01",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.