Active NPI
Emmanuel Lingad Alfonso, D.D.S.
- General Practice Dentistry
- City of Industry, CA
National Provider Identifier
1831150150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38246
- Practice address
- 15940 Amar Rd
City of Industry, CA 91744-2201 - Phone
- (626) 336-3404
- Fax
- (626) 330-3542
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38246 | CA | Primary |
Addresses
Primary practice location
15940 Amar Rd
City of Industry, CA 91744-2201
Mailing address
15940 Amar Rd
City of Industry, CA 91744-2201
Phone (626) 336-3404
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 |
|---|---|---|---|
| 38246 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1831150150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15940 AMAR RD",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917442201",
"telephone_number": "626-336-3404",
"fax_number": "626-330-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15940 AMAR RD",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917442201",
"telephone_number": "626-336-3404",
"fax_number": "626-330-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO",
"first_name": "EMMANUEL",
"middle_name": "LINGAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.