Organization Active NPI

Miriam Zuniga DDS Inc

  • Dental Clinic/Center
  • Bellflower, CA
National Provider Identifier
1629501226
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62065 Issued in CA
Legal business name
MIRIAM ZUNIGA DDS INC
Practice address
14349 Woodruff Ave
Bellflower, CA 90706
Phone
(310) 848-0210
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Dr. Miriam Zuniga Bernardeau I, DDSNPI 1285972240
Title
General Dentist
Phone
(310) 848-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62065 CA Primary

Addresses

Primary practice location

14349 Woodruff Ave
Bellflower, CA 90706

Mailing address

14349 Woodruff Ave
Bellflower, CA 90706-3232
Phone (310) 848-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718001789 CA Part B Supplier - Clinic/Group Practice 3971850207 Receives reassigned benefits from 1 practitioner
Practice locations: Bellflower, CA

National Provider Directory

National Provider Directory

Locations

14349 Woodruff Ave
Bellflower, CA 90706
Phone (310) 848-0210

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1629501226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14349 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063232",
            "telephone_number": "310-848-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14349 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "310-848-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM ZUNIGA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA BERNARDEAU",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "310-848-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.