Individual provider Active NPI

Nita Hugo Largoza, DMD

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1811036676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40258 Issued in CA
Practice address
1040 Tierra del Rey
Ste. 207
Chula Vista, CA 91910-7865
Phone
(619) 482-1992
Fax
(619) 482-1944
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40258 CA Primary

Addresses

Primary practice location

1040 Tierra del Rey
Ste. 207
Chula Vista, CA 91910-7865

Mailing address

1040 Tierra del Rey
Ste. 207
Chula Vista, CA 91910-7865
Phone (619) 482-1992

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160907001031 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294021929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves Abi-Nahed DMD Inc PastSince Jun 15, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nita.largoza.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811036676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY",
            "address_2": "STE. 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-482-1992",
            "fax_number": "619-482-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY",
            "address_2": "STE. 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-482-1992",
            "fax_number": "619-482-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGOZA",
        "first_name": "NITA",
        "middle_name": "HUGO",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.