Active NPI
Jorge A Villasenor, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1649295320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38938
- Practice address
- 445 S New Hampshire Ave
310
Los Angeles, CA 90020-1950 - Phone
- (213) 382-8425
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 24, 2007
- 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 | 38938 | CA | Primary |
Addresses
Primary practice location
445 S New Hampshire Ave
310
Los Angeles, CA 90020-1950
Mailing address
4161 Tyler Ave
El Monte, CA 91731-1966
Phone (626) 579-4274
Other names 1
- Dr. Jorge A Villasenor
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 |
|---|---|---|---|
| 38938 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshinedentalgroupof Jorgeangel Villasenorddsdentalcorp | Past | Accepting new patients | |
| G C Delaosa and R P Casanova DDS Dental Corp. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sunshine Dental Group
- Dentist
- El Monte, CA
- NPI 1457511388
-
dba Sunshine Dental Group
- Dentist
- El Monte, CA
- NPI 1760862189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1649295320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 TYLER AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311966",
"telephone_number": "626-579-4274",
"fax_number": "626-579-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S NEW HAMPSHIRE AVE",
"address_2": "310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201950",
"telephone_number": "213-382-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "JORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORGE",
"last_name": "VILLASENOR",
"middle_name": "A",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.