Individual provider Active NPI

Sophia Julia Larkin, DMD

  • General Practice Dentistry
  • La Jolla, CA
National Provider Identifier
1598210932
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100443 Issued in CA
Practice address
8657 Villa la Jolla Dr Ste 211
La Jolla, CA 92037-8309
Phone
(858) 272-2260
Fax
(858) 272-2278
NPI assigned
Aug 15, 2016
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100443 CA
General Practice Dentistry 1223G0001X 100443 CA Primary

Addresses

Primary practice location

8657 Villa la Jolla Dr Ste 211
La Jolla, CA 92037-8309

Mailing address

8657 Villa la Jolla Dr Ste 211
La Jolla, CA 92037-8309
Phone (858) 272-2260

Other names 1

  • Dr. Sophia Julia Majeed Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address majeeds@pacden.com Direct

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
I20170601000159 CA Order and Referring Only - DentistPractitioner - Dentist 9739456435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100443CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Minh Pham Dental Corporation General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: majeeds@pacden.com

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1598210932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8657 VILLA LA JOLLA DR STE 211",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378309",
            "telephone_number": "858-272-2260",
            "fax_number": "858-272-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8657 VILLA LA JOLLA DR STE 211",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378309",
            "telephone_number": "858-272-2260",
            "fax_number": "858-272-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "SOPHIA",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100443",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "majeeds@pacden.com",
            "affiliation": "N",
            "endpointDescription": "work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "associate dentist",
            "address_1": "8657 Villa La Jolla Dr Ste 211",
            "city": "LA Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920378309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "MAJEED",
            "middle_name": "JULIA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.