Organization Active NPI

Astaraee DT

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1659255271
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASTARAEE DT
Practice address
267 S San Pedro St Unit 261
Los Angeles, CA 90012-3877
Phone
(213) 988-7071
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Nydia Gonzalez
Title
Office Manager
Phone
(424) 372-9159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

267 S San Pedro St Unit 261
Los Angeles, CA 90012-3877

Mailing address

11870 Santa Monica Blvd # 106418
Los Angeles, CA 90025-2276

Other names 1

  • Luxe Dental Cosmetics Other name

National Provider Directory

National Provider Directory

Locations

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

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": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1659255271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD # 106418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S SAN PEDRO ST UNIT 261",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123877",
            "telephone_number": "213-988-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTARAEE DT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NYDIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "424-372-9159"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxe Dental Cosmetics",
            "code": "5",
            "type": "Other 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 5, 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.