Justine Torres Angeles, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

106149 Issued in CA

Practice address

2525 Merced St Ste a
San Leandro, CA 94577-4212

Phone

(510) 940-7997

NPI assigned

Jun 23, 2020

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mesa Dental Arizona LLC

  • Dentist
  • Phoenix, AZ
  • NPI 1447780135
  NPD (past)
• Southern Dental LLC

  • Dentist
  • Phoenix, AZ
  • NPI 1952249195
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1710503941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S 24TH ST APT 344",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046986",
            "telephone_number": "510-290-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 MERCED ST STE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774212",
            "telephone_number": "510-940-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "JUSTINE",
        "middle_name": "TORRES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "PD0008",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "106149",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew James Stein M D
• Marc James Andrews, M.D.
• Andy Tran DDS & Associates
• Cynthia Angeles
• Judith Angeles, DMD
• Stacey Angeles
• Adriana Angenette
• Melanie Angle
• Isabella Anguiano
• Anka Behavioral Health Incorporated (Casa Phoenix)

• Dentist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.