Marena G F Michael

Primary specialty

DentistTaxonomy code 122300000X

License

105594 Issued in CA

Practice address

2216 Foothill Blvd
La Verne, CA 91750-2944

Phone

(909) 392-3899

NPI assigned

Sep 27, 2020

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

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 and National Provider Directory roles.

• Marena Michael, DDS, Inc

  • Dental Clinic/Center
  • Upland, CA
  • NPI 1578271821
  NPD Authorized official
• Dental Corporation of Louis Z. Stromberg, DDS

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1396830246
  NPD (past)

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1740897487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GARVEY AVE APT 4",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034257",
            "telephone_number": "909-660-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 FOOTHILL BLVD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502944",
            "telephone_number": "909-392-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MARENA",
        "middle_name": "G F",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyna Mendoza
• Estefania Mendoza, BA
• Melissa Antonia Mendoza, M.S.
• Stevie N Mendoza
• Rosalva Messina
• Michael P Miller, LMFT
• Antionette Palacio Mirenda
• Kameko Mitchell, B.A.
• MKM Logistics
• Jessica Cynthia Mogi, OTR/L

• Dentist in La Verne, CA
• Providers in La Verne, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.