Individual provider Active NPI

Adrian Menendez

  • Dentist
  • Torrance, CA
National Provider Identifier
1730832379
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108741 Issued in CA
Practice address
2216 W 233Rd St
Torrance, CA 90501-5726
Phone
(310) 491-8804
NPI assigned
Feb 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108741 CA Primary

Addresses

Primary practice location

2216 W 233Rd St
Torrance, CA 90501-5726

Mailing address

2216 W 233Rd St
Torrance, CA 90501-5726
Phone (310) 491-8804

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
I20250304003278 CA Practitioner - Dentist 0042731259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Via Care Community Health Center Current Accepting new patients
Via Care Community Health Center CurrentSince Dec 24, 2024 Accepting new patients
Via Care Community Health Center CurrentSince Dec 24, 2024 Accepting new patients

Locations

10230 Artesia Blvd
Bellflower, CA 90706
Phone (562) 270-4100

507 S Atlantic Blvd
Los Angeles, CA 90022
Phone 32326891911067

501 S Atlantic Blvd
Los Angeles, CA 90022
Phone (323) 268-5442

Organizations & group practices 3

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1730832379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 W 233RD ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015726",
            "telephone_number": "310-491-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W 233RD ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015726",
            "telephone_number": "310-491-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.