Rosa M Parra, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

60761 Issued in CA

Practice address

12121 Wilshire Blvd Ste 1111
Los Angeles, CA 90025-1188

Phone

(310) 820-9933

Fax

(310) 820-0588

NPI assigned

Jul 22, 2018

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

Other identifiers 1

Other names 1

• Rosa M Gutierrez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1699252759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 ARLINE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151424",
            "telephone_number": "562-441-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD STE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251188",
            "telephone_number": "310-820-9933",
            "fax_number": "310-820-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRA",
        "first_name": "ROSA",
        "middle_name": "M",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "60761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60761",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "GUTIERREZ",
            "middle_name": "M",
            "credential": "RDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Elizabeth Parra
• Melissa Christine Parra, MS, CGC
• Mitzi N Parra
• Natalie Parra, ASW
• Roberto Parra, DDS
• Ryan Lee Parra
• Samantha Katherine Parra, NURSE PRACTITIONER
• Daniel Parrales
• Daniel Philip Parratt
• Philline Tabora Parreno, DDS

• Dental Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.