Neeta Awasthi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102859 Issued in CA

Practice address

629 9TH St
Imperial Beach, CA 91932-1508

Phone

(619) 424-5115

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1609398098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 9TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321508",
            "telephone_number": "619-424-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 9TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321508",
            "telephone_number": "619-424-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 la jolla village dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92161",
            "country_code": "US",
            "telephone_number": "858-552-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWASTHI",
        "first_name": "NEETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Arellano Banoni, M.D.
• Arnel Mariano, DDS.,Inc.
• Kathleen Helen Austin, NURSE
• Authentic Healing LLC
• Veronica Carolina Avila-Cruz
• Edmund Jose Bajet, LPCC
• Laura Becker
• Curtis Benedetto, AOD
• Carlyn Angela Blevins, MS, RD
• Gwenda Lynn Blum

• General Practice Dentistry in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.