Active NPI
Maria Cristina C Lat
- General Practice Dentistry
- Cerritos, CA
National Provider Identifier
1609929934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41899
- Practice address
- 13400 Artesia Blvd
Cerritos, CA 90703-8806 - Phone
- (562) 921-0898
- Fax
- (562) 921-0919
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41899 | CA | Primary |
Addresses
Primary practice location
13400 Artesia Blvd
Cerritos, CA 90703-8806
Mailing address
13400 Artesia Blvd
Cerritos, CA 90703-8806
Phone (562) 921-0898
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609929934 | Other | NPI TYPE 1 | |
| B41899-01 | Other | CA | DENTI-CAL PROVIDER NO. |
| 1770955684 | Other | CA | DENTICAL PROVIDER NUMBER |
| 41899 | Other | CA | DENTAL LICENSE |
| 1770955684 | Other | NPI TYPE 2 |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Cristina Lat DDS Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Cerritos, CA
- NPI 1770955684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1609929934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 ARTESIA BLVD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038806",
"telephone_number": "562-921-0898",
"fax_number": "562-921-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 ARTESIA BLVD",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038806",
"telephone_number": "562-921-0898",
"fax_number": "562-921-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAT",
"first_name": "MARIA CRISTINA",
"middle_name": "C",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1609929934",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER NO.",
"identifier": "B41899-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL PROVIDER NUMBER",
"identifier": "1770955684",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "41899",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2",
"identifier": "1770955684",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.