Individual provider Active NPI

Alvaro Rafael Hernandez Saavedra, DDS

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1679200919
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107734 Issued in CA
Practice address
16071 Goldenwest St
Huntington Beach, CA 92647-3405
Phone
(714) 536-2383
NPI assigned
Aug 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107734 CA Primary

Addresses

Primary practice location

16071 Goldenwest St
Huntington Beach, CA 92647-3405

Mailing address

20739 Elaine Ave Apt 7
Lakewood, CA 90715-1752
Phone (702) 761-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021001242 CA Order and Referring Only - DentistPractitioner - Dentist 0648646265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alvaro Hernandez DDS Inc. Current Accepting new patients
Smith and Sharifian Dental Corporation PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1679200919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20739 ELAINE AVE APT 7",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151752",
            "telephone_number": "702-761-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16071 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473405",
            "telephone_number": "714-536-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ SAAVEDRA",
        "first_name": "ALVARO",
        "middle_name": "RAFAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.