Bajo DMD & Liwanag DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38027 Issued in CA

Legal business name

BAJO DMD & LIWANAG DMD INC

Doing business as

Carson Family Dental Office

Practice address

144 West Carson St
Carson, CA 90745

Phone

(310) 835-4088

Fax

(310) 835-8488

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elenita B Liwanag, DMDNPI 1912188814

Title

Dr VP

Phone

(310) 835-7088

Specialties & licenses 2

Addresses

Other names 1

• Carson Family Dental Office Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elenita B. Liwanag, DMD

  • Dentist
  • Carson, CA
  • NPI 1912188814
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790798684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WEST CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-835-4088",
            "fax_number": "310-835-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WEST CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "310-835-4088",
            "fax_number": "310-835-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAJO DMD & LIWANAG DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIWANAG",
        "authorized_official_first_name": "ELENITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR VP",
        "authorized_official_telephone_number": "310-835-7088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38963",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Family Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Back in Motion Physical Therapy
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• Ji Seon Bae
• Nancy M Bahem, NBC-HWC
• Angeles Bugayong Bajo, DDS
• Sharon Baker-Harris, CHC, CPT
• Cappie Baker
• Cheri Carroll Baltra
• Jacob Baquir, MHA, OTR/L

• Dental Clinic/Center in Carson, CA
• Providers in Carson, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.