Active NPI
Autria Aidun, DDS
- Dentist
- Los Gatos, CA
National Provider Identifier
1821986175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111771
- Practice address
- 16210 Jacaranda Way
Los Gatos, CA 95032-3629 - Phone
- (408) 458-6106
- NPI assigned
- Jun 25, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 111771 | CA | Primary |
Addresses
Primary practice location
16210 Jacaranda Way
Los Gatos, CA 95032-3629
Mailing address
16210 Jacaranda Way
Los Gatos, CA 95032-3629
Phone (408) 458-6106
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 |
|---|---|---|---|
| 111771 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1821986175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16210 JACARANDA WAY",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950323629",
"telephone_number": "408-458-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16210 JACARANDA WAY",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950323629",
"telephone_number": "408-458-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIDUN",
"first_name": "AUTRIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.