Nalorn Nang Sengamphan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

49801 Issued in CA

Practice address

20225 Monte Vista St
20225 Monte Vista Lane
Apple Valley, CA 92308-7534

Phone

(619) 750-3556

Fax

(619) 750-3556

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1689711525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18245 US HWY 18 , STE 3,4",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-2977",
            "fax_number": "760-242-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 MONTE VISTA ST",
            "address_2": "20225 MONTE VISTA LANE",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923087534",
            "telephone_number": "619-750-3556",
            "fax_number": "619-750-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGAMPHAN",
        "first_name": "NALORN",
        "middle_name": "NANG",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bev Noralea Scott
• Jill Christina Sczech, PHARMD
• Natalie Christine Sedano
• Bianca Sedillo
• Deniece L Selvin, REGISTERED NURSE MSN
• Audra Renee Sengstock, M.S.
• Mayra Maritza Serapia
• Logan Daniel Serena
• Serene Health
• Blanca De Jesus Serrano, FNP-C

• Dentist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.