Pedrito Martin Morales, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DG36586 Issued in CA

Practice address

13549 Roscoe Blvd
Panorama City, CA 91402-5500

Phone

(818) 782-5501

Fax

(818) 782-5868

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ebi Nikjoo DDS Inc

  • Dentist
  • Los Angeles, CA
  • NPI 1285055145
  NPD (past)
• Ebi Nikjoo Dental Corp

  • Dental Clinic/Center
  • Panorama City, CA
  • NPI 1316315724
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760694251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13549 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025500",
            "telephone_number": "818-782-5501",
            "fax_number": "818-782-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13549 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914025500",
            "telephone_number": "818-782-5501",
            "fax_number": "818-782-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "PEDRITO",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DG36586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL NUMBER",
            "identifier": "B36586-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Moore, MD
• Nicole Moore
• Juan Mora
• Kimberly Y Morales
• Margarita Morales, RCP
• Raul Distal Morales
• Maureen Michelle Sabino Morante
• Jane Therese Morejon
• Juan Francisco Moscoso, MD
• Virginia Moskalyov

• General Practice Dentistry in Panorama City, CA
• Providers in Panorama City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.