Organization Active NPI

Pacia Dental Corporation

  • General Practice Dentistry
  • Granada Hills, CA
National Provider Identifier
1821115981
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PACIA DENTAL CORPORATION
Practice address
16905 San Fernando Mission Blvd
Granada Hills, CA 91344-4250
Phone
(818) 368-4661
Fax
(818) 368-1344
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Emmanuel Naguit Pacia, DDSNPI 1801079041
Title
Owner
Phone
(818) 368-4661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16905 San Fernando Mission Blvd
Granada Hills, CA 91344-4250

Mailing address

16905 San Fernando Mission Blvd
Granada Hills, CA 91344-4250
Phone (818) 368-4661

Other identifiers 1

IdentifierTypeStateIssuer
G92240-01OtherCAMEDICAL/DENTI-CAL

National Provider Directory

National Provider Directory

Locations

16905 San Fernando Mission Blvd
Granada Hills, CA 91344
Phone (818) 368-4661

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1821115981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16905 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444250",
            "telephone_number": "818-368-4661",
            "fax_number": "818-368-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16905 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444250",
            "telephone_number": "818-368-4661",
            "fax_number": "818-368-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "PACIA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "NAGUIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-368-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL/DENTI-CAL",
            "identifier": "G92240-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.