Individual provider Active NPI

Hector Jose Argumedo

  • Dental Assistant
  • Los Angeles, CA
National Provider Identifier
1609238609
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
RDA 51234 Issued in CA
Practice address
803 N Bonnie Brae St Apt 7
Los Angeles, CA 90026-4182
Phone
(323) 603-8901
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X RDA 51234 CA Primary

Addresses

Primary practice location

803 N Bonnie Brae St Apt 7
Los Angeles, CA 90026-4182

Mailing address

803 N Bonnie Brae St Apt 7
Los Angeles, CA 90026-4182
Phone (323) 603-8901

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
RDA 51234CAMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1609238609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N BONNIE BRAE ST APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264182",
            "telephone_number": "323-603-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N BONNIE BRAE ST APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264182",
            "telephone_number": "323-603-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUMEDO",
        "first_name": "HECTOR",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA 51234",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 28, 2016; 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.