Individual provider Active NPI

Araceli Alcaraz Cano, RDA

  • Dental Assistant
  • Los Angeles, CA
National Provider Identifier
1801222351
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
RDA 78437 Issued in CA
Practice address
3980 Dalton Ave
Los Angeles, CA 90062-1214
Phone
(323) 590-8013
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X RDA 78437 CA Primary

Addresses

Primary practice location

3980 Dalton Ave
Los Angeles, CA 90062-1214

Mailing address

3980 Dalton Ave
Los Angeles, CA 90062-1214
Phone (323) 590-8013

Other names 1

  • Araceli Alcaraz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RDA 78437CAMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1801222351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 DALTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621214",
            "telephone_number": "323-590-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 DALTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621214",
            "telephone_number": "323-590-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCARAZ CANO",
        "first_name": "ARACELI",
        "name_prefix": "Mrs.",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA 78437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARACELI",
            "last_name": "ALCARAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.