Amanjyot Kaur Bains, DDS
Individual provider Active NPI Pediatric Dentistry · Alpine, CA
NPI 1629635263 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1629635263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DDS105512 (CA)
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS105512 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indian Health Council | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS105512 | CA | Yes |
| Dentist | 122300000X | DDS105512 | CA |
Addresses
Primary practice location
4058 Willows Rd
Alpine, CA 91901-1668
Mailing address
3911 Cleveland Ave # 33382
San Diego, CA 92103-3402
Other providers in Alpine, CA
- Alvin Amar
- Emily Andrew
- Samar Areiquat
- Lacey Danielle Armstrong
- Ime Attah
- Jonathan Louis Baker
- April Ball
- Ryan Barletta
- Barry Katzman, M.D., Inc., Apc
- Leslee-Anne Sesno Bauer
All providers in Alpine, CA · Pediatric Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.