Sergio Ayala, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58937 Issued in CA

Practice address

706 Townsite Dr
Vista, CA 92084-4502

Phone

(760) 724-4392

NPI assigned

Feb 9, 2010

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sergio Ayala DDS Inc

  • General Practice Dentistry
  • Vista, CA
  • NPI 1184298689
  NPD Authorized official

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1780916163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 LESLIE RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206285",
            "telephone_number": "161-951-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 TOWNSITE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844502",
            "telephone_number": "760-724-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 Leslie Rd",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920206285",
            "country_code": "US",
            "telephone_number": "161-951-9361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2021-12-21",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenue Mori Medical Equipment, Inc
• Gina Avila
• Elizabeth Ayala
• Jaime Ayala Jr.
• Lillie Ayala, PHARM.D.
• Audrey Ayers
• Azikeal LLC
• Jennifer Azofeifa
• Ida Babakhanyan, PH.D
• Ani Babayan, RBT

• General Practice Dentistry in Vista, CA
• Providers in Vista, 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 Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.