Individual provider Active NPI

Judith Aldaz, DDS

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1730285149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47347 Issued in CA
Practice address
8735 Trautwein Rd
Riverside, CA 92508-9474
Phone
(951) 776-1330
Fax
(951) 776-1388
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 47347 CA Primary

Addresses

Primary practice location

8735 Trautwein Rd
Riverside, CA 92508-9474

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

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
I20240118004037 CA Practitioner - Dentist 0244544286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47347CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
I Zak DDS Prof Dental Corp Current Accepting new patients
I Zak DDS Prof Dental Corp CurrentSince Dec 1, 2023 Accepting new patients
I Zak DDS Prof Dental Corp General Practice CurrentSince Dec 1, 2023 Accepting new patients
I Zak DDS Prof Dental Corp General Practice PastSince Apr 3, 2022 Accepting new patients
Lynda Watanabe Professional Dental Corporation General Practice Past Accepting new patients

Locations

10501 Lakewood Blvd
Downey, CA 90241
Phone (562) 862-2341

10501 Lakewood Blvd
#B
Downey, CA 90241
Phone (562) 862-2341

4167 Ohio St
San Diego, CA 92104
Phone (619) 281-6635

5168 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 683-5300

3355 Cochran St
Ste 206
Simi Valley, CA 93063
Phone (805) 520-1100

41593 Winchester Rd
Ste 211
Temecula, CA 92590
Phone (562) 862-2341

Organizations & group practices 5

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730285149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 TRAUTWEIN RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089474",
            "telephone_number": "951-776-1330",
            "fax_number": "951-776-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAZ",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.