Organization Active NPI

San Gabriel Family Dentistry

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1659247948
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAN GABRIEL FAMILY DENTISTRY
Practice address
531 W Las Tunas Dr Ste B
San Gabriel, CA 91776-1166
Phone
(626) 281-1628
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Dr. Cassy LiNPI 1578575643
Title
Owner
Phone
(626) 281-1628

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

531 W Las Tunas Dr Ste B
San Gabriel, CA 91776-1166

Mailing address

531 W Las Tunas Dr Ste B
San Gabriel, CA 91776-1166

National Provider Directory

National Provider Directory

Locations

531 W Las Tunas Dr
Ste B
San Gabriel, CA 91776
Phone (626) 281-1628

Practitioners & affiliated clinicians

Practitioners 1

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": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1659247948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W LAS TUNAS DR STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W LAS TUNAS DR STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761166",
            "telephone_number": "626-281-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CASSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-281-1628",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.