Active NPI
Chanel Sofia Pugliese, RDHAP
- Dental Hygienist
- West Covina, CA
National Provider Identifier
1760395719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1175
- Practice address
- 250 N Leland Ave
West Covina, CA 91790-1927 - Phone
- (909) 642-4492
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1175 | CA | Primary |
Addresses
Primary practice location
250 N Leland Ave
West Covina, CA 91790-1927
Mailing address
250 N Leland Ave
West Covina, CA 91790-1927
Phone (909) 642-4492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1760395719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N LELAND AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901927",
"telephone_number": "909-642-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N LELAND AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901927",
"telephone_number": "909-642-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "CHANEL",
"middle_name": "SOFIA",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "1175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.