Active NPI
Ana Patricia Giron, RDA
- Dental Assistant
- Canoga Park, CA
National Provider Identifier
1598315533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 79112
- Practice address
- 21812 Roscoe Blvd Apt 33
Canoga Park, CA 91304-3939 - Phone
- (818) 388-5641
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 79112 | CA | Primary |
Addresses
Primary practice location
21812 Roscoe Blvd Apt 33
Canoga Park, CA 91304-3939
Mailing address
21812 Roscoe Blvd Apt 33
Canoga Park, CA 91304-3939
Phone (818) 388-5641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79112 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1598315533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21812 ROSCOE BLVD APT 33",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043939",
"telephone_number": "818-388-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21812 ROSCOE BLVD APT 33",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913043939",
"telephone_number": "818-388-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRON",
"first_name": "ANA",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "RDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "79112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79112",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.