Active NPI
Sina Bacol, DDS
- Dentist
- Los Alamitos, CA
National Provider Identifier
1609543560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106555
- Practice address
- 3252 Mainway Dr
Los Alamitos, CA 90720-4818 - Phone
- (562) 685-5446
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 106555 | CA | Primary |
Addresses
Primary practice location
3252 Mainway Dr
Los Alamitos, CA 90720-4818
Mailing address
3252 Mainway Dr
Los Alamitos, CA 90720-4818
Phone (562) 685-5446
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106555 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1609543560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3252 MAINWAY DR",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907204818",
"telephone_number": "562-685-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3252 MAINWAY DR",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907204818",
"telephone_number": "562-685-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACOL",
"first_name": "SINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.