Active NPI
Susan Ishioka, DDS, MS
- Pediatric Dentistry
- Los Alamitos, CA
National Provider Identifier
1679616379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 35506
- Practice address
- 5122 Katella Ave
Suite 112
Los Alamitos, CA 90720-2826 - Phone
- (562) 493-2807
- Fax
- (562) 598-3332
- NPI assigned
- Feb 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 35506 | CA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 35506 | CA |
Addresses
Primary practice location
5122 Katella Ave
Suite 112
Los Alamitos, CA 90720-2826
Mailing address
5122 Katella Ave
Suite 112
Los Alamitos, CA 90720-2826
Phone (562) 493-2807
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35506 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson Pai DDS & Susan Ishioka DDS Ms, Inc. | Pediatric Dentistry | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Alamitos, CA
- NPI 1851503437
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679616379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE",
"address_2": "SUITE 112",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202826",
"telephone_number": "562-493-2807",
"fax_number": "562-598-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE",
"address_2": "SUITE 112",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202826",
"telephone_number": "562-493-2807",
"fax_number": "562-598-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIOKA",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "35506",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "35506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
- Daniel Ignatius, PT, DPT
- Infocus Pathology Group
- Innovative Psychological Solutions
- Integrated Dermatology of Los Alamitos, PC
- Integrated Pathology Medical Laboratory, Inc.
- Fides G Isidro, LCSW
- Stephanie Paola Islas Orgaz
- Amanda Brooke Israel, DDS
- Barry Dean Israel, DDS
- Jack Rubin MD, a Prof Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.