Active NPI
Janette Garcia Cardona
- Dental Hygienist
- Los Angeles, CA
National Provider Identifier
1811593544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 33332
- Practice address
- 12121 Wilshire Blvd., Steve.1111
Los Angeles, CA 90025 - Phone
- (310) 820-9933
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 33332 | CA | Primary |
Addresses
Primary practice location
12121 Wilshire Blvd., Steve.1111
Los Angeles, CA 90025
Mailing address
1016 S Bonnie Beach PL Apt D
Los Angeles, CA 90023-2548
Other practice location 1
1016 S Bonnie Beach Pl Apt D
Los Angeles, CA 90023-2548
Phone (323) 617-0091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33332 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33332 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1811593544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 S BONNIE BEACH PL APT D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 WILSHIRE BLVD., STEVE.1111",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "310-820-9933"
}
],
"practiceLocations": [
{
"address_1": "1016 S Bonnie Beach Pl Apt D",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900232548",
"country_code": "US",
"telephone_number": "323-617-0091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA CARDONA",
"first_name": "JANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "33332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33332",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Dec 8, 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.