Active NPI
Justin Angeles
- General Practice Dentistry
- North Hills, CA
National Provider Identifier
1649004342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 110647
- Practice address
- 16134 Nordhoff St Ste B
North Hills, CA 91343-3004 - Phone
- (818) 726-6327
- NPI assigned
- Aug 27, 2024
- Sex
- Male
- 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 | 110647 | CA | Primary |
Addresses
Primary practice location
16134 Nordhoff St Ste B
North Hills, CA 91343-3004
Mailing address
20271 Via Medici
Porter Ranch, CA 91326-4059
Phone (818) 726-6328
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1649004342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20271 VIA MEDICI",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264059",
"telephone_number": "818-726-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16134 NORDHOFF ST STE B",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913433004",
"telephone_number": "818-726-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELES",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "110647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.