Active NPI
Mariela Garcia Armenta
- Dental Hygienist
- Sun City, CA
National Provider Identifier
1659876290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 30866
- Practice address
- 28125 Bradley Rd Ste 210
Sun City, CA 92586-2248 - Phone
- (951) 679-0520
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 30866 | CA | Primary |
Addresses
Primary practice location
28125 Bradley Rd Ste 210
Sun City, CA 92586-2248
Mailing address
28125 Bradley Rd Ste 210
Sun City, CA 92586-2248
Phone (951) 679-0520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30866 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H. Pourshirazi DMD, 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Sun City, CA
- NPI 1003957457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1659876290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28125 BRADLEY RD STE 210",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925862248",
"telephone_number": "951-679-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28125 BRADLEY RD STE 210",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925862248",
"telephone_number": "951-679-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA ARMENTA",
"first_name": "MARIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "30866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30866",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.