Active NPI
Ariadna Marlene Rangel Luna
- Dental Assistant
- Corona, CA
National Provider Identifier
1831754498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 83780
- Practice address
- 1160 E Ontario Ave
Corona, CA 92881-8653 - Phone
- (310) 820-9933
- NPI assigned
- May 8, 2019
- 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 Assistant | 126800000X | 83780 | CA | Primary |
Addresses
Primary practice location
1160 E Ontario Ave
Corona, CA 92881-8653
Mailing address
1160 E Ontario Ave
Corona, CA 92881-8653
Phone (909) 295-1705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83780 | 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 |
|---|---|---|---|
| 83780 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1831754498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 E ONTARIO AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928818653",
"telephone_number": "909-295-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E ONTARIO AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928818653",
"telephone_number": "310-820-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGEL LUNA",
"first_name": "ARIADNA",
"middle_name": "MARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "83780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.