Active NPI
San Gabriel Family Dentistry
- General Practice Dentistry
- San Gabriel, CA
National Provider Identifier
1659247948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cassy Li
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- San Gabriel, CA
- NPI 1578575643
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.