Active NPI
Lily Ann Namsinh
- General Practice Dentistry
- Garden Grove, CA
National Provider Identifier
1811198476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38208
- Practice address
- 13945 Harbor Blvd
Garden Grove, CA 92843-4012 - Phone
- (714) 554-7123
- Fax
- (714) 554-3273
- NPI assigned
- May 30, 2007
- Last updated
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38208 | CA | Primary |
Addresses
Primary practice location
13945 Harbor Blvd
Garden Grove, CA 92843-4012
Mailing address
13945 Harbor Blvd
Garden Grove, CA 92843-4012
Phone (714) 554-7123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30208 | Other | CA | DENTICAL PROVIDER |
| 100007381 | Medicaid | CA |
Other names 1
- Dr. Lily A Namsinh
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 714-554-7123 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160607001355 | CA | Order and Referring Only - Dentist | 7012207897 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harborfamilydental | Current | Accepting new patients | |
| Lily a Namsinh DDS Apc. | Current | Accepting new patients |
Locations
13945 Harbor Blvd
Garden Grove, CA 92843
Phone (714) 554-7123
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Garden Grove, CA
- NPI 1205015377
-
- Dentist
- Garden Grove, CA
- NPI 1689091761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1811198476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13945 HARBOR BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434012",
"telephone_number": "714-554-7123",
"fax_number": "714-554-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13945 HARBOR BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434012",
"telephone_number": "714-554-7123",
"fax_number": "714-554-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMSINH",
"first_name": "LILY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL PROVIDER",
"identifier": "30208",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007381",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "714-554-7123",
"affiliation": "N",
"address_1": "13945 Harbor Blvd",
"city": "Garden Grove",
"state": "CA",
"country_code": "US",
"postal_code": "928434012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LILY",
"last_name": "NAMSINH",
"middle_name": "A",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.