NPIMap

Organization Active NPI

A. Pineda So, DDS, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1740323716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37163 Issued in CA
Legal business name
A. PINEDA SO, DDS, INC.
Practice address
1619 Glendale Blvd
Los Angeles, CA 90026-2416
Phone
(213) 484-9416
Fax
(213) 484-9414
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Armando Pineda So, D.D.S.NPI 1346379666
Title
President
Phone
(213) 484-9416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37163 CA Primary

Addresses

Primary practice location

1619 Glendale Blvd
Los Angeles, CA 90026-2416

Mailing address

1619 Glendale Blvd
Los Angeles, CA 90026-2416
Phone (213) 484-9416

National Provider Directory

National Provider Directory

Locations

1619 Glendale Blvd
Los Angeles, CA 90026
Phone (213) 484-9416

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740323716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262416",
            "telephone_number": "213-484-9416",
            "fax_number": "213-484-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262416",
            "telephone_number": "213-484-9416",
            "fax_number": "213-484-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. PINEDA SO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "PINEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-9416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.