NPIMap

Organization Active NPI

South Bay Childrens Health Center Association Inc

  • General Practice Dentistry
  • Lawndale, CA
National Provider Identifier
1770577017
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
960000038 Issued in CA
Legal business name
SOUTH BAY CHILDRENS HEALTH CENTER ASSOCIATION INC
Practice address
14722 Hawthorne Blvd
Suite a
Lawndale, CA 90260-1505
Phone
(310) 973-5437
Fax
(310) 316-4411
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Megha Sata, DDSNPI 1720208671
Title
Dental Director
Phone
(310) 973-5437

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 960000038 CA Primary

Addresses

Primary practice location

14722 Hawthorne Blvd
Suite a
Lawndale, CA 90260-1505

Mailing address

410 Camino Real
Redondo Beach, CA 90277-3815
Phone (310) 316-1212

National Provider Directory

National Provider Directory
Tax ID family
South Bay Children'S Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14722 Hawthorne Blvd
Ste A
Lawndale, CA 90260
Phone (310) 973-5437

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1770577017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CAMINO REAL",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773815",
            "telephone_number": "310-316-1212",
            "fax_number": "310-316-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14722 HAWTHORNE BLVD",
            "address_2": "SUITE A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601505",
            "telephone_number": "310-973-5437",
            "fax_number": "310-316-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY CHILDRENS HEALTH CENTER ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "SATA",
        "authorized_official_first_name": "MEGHA",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "310-973-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "960000038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.