Individual provider Active NPI

Leticia Mendoza-Sobel, DDS

  • Dentist
  • Piedmont, CA
National Provider Identifier
1649584723
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43037 Issued in CA
Practice address
1333 Grand Avenue
Piedmont, CA 94610
Phone
(510) 652-2603
Fax
(510) 652-4146
NPI assigned
Aug 2, 2010
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43037 CA Primary

Addresses

Primary practice location

1333 Grand Avenue
Piedmont, CA 94610

Mailing address

1333 Grand Avenue
Piedmont, CA 94610
Phone (510) 652-2603

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

LicenseStateTypeSpecialty
43037CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Reinaldo J Negron DDS, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1649584723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 GRAND AVENUE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-652-2603",
            "fax_number": "510-652-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 GRAND AVENUE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-652-2603",
            "fax_number": "510-652-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-SOBEL",
        "first_name": "LETICIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.