Elaine Trang Dang Senaluck, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

63307 Issued in CA

Practice address

706 S Atlantic Blvd
Apt D
Alhambra, CA 91803-2284

Phone

(714) 823-0434

NPI assigned

Apr 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elaine.senaluck@direct.parktreechc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fulbright Dental Group, PC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1336384619
  Medicare reassignment NPD
• Lumina Healthcare, LLC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1932343589
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1831457118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S ATLANTIC BLVD",
            "address_2": "APT D",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032284",
            "telephone_number": "714-823-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S ATLANTIC BLVD",
            "address_2": "APT D",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032284",
            "telephone_number": "714-823-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENALUCK",
        "first_name": "ELAINE",
        "middle_name": "TRANG DANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Shiro Sebata, M.D.
• Mariam D Sedrak
• Leonard Chiau Zhen See
• Seen Health San Gabriel Valley, LLC
• Moshe Seleh, PHARM.D.
• Sequoia Pain and Spine PC
• Paola Jasmine Serna
• Leonardo Serrano Flores
• Angie Serrano
• Israel Serrano

• Dentist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.

Verify at the official NPI Registry.