Active NPI
Arthur Abordo
- Dentist
- Fullerton, CA
National Provider Identifier
1619368776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39741
- Practice address
- 726 Tangerine Way
Fullerton, CA 92832-2600 - Phone
- (657) 217-5285
- NPI assigned
- Feb 11, 2015
- Last updated
- Feb 11, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 39741 | CA | Primary |
Addresses
Primary practice location
726 Tangerine Way
Fullerton, CA 92832-2600
Mailing address
726 Tangerine Way
Fullerton, CA 92832-2600
Phone (657) 217-5285
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 |
|---|---|---|---|
| 39741 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1619368776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 TANGERINE WAY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322600",
"telephone_number": "657-217-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 TANGERINE WAY",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322600",
"telephone_number": "657-217-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABORDO",
"first_name": "ARTHUR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.