Organization Active NPI

Leticia Camacho DDS Inc,

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1851536361
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55738 Issued in CA
Legal business name
LETICIA CAMACHO DDS INC,
Practice address
516 W 17TH St Ste a
Santa Ana, CA 92706-3677
Phone
(714) 972-2506
Fax
(714) 972-2507
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Leticia Camacho
Title
President
Phone
(714) 972-2506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55738 CA Primary

Addresses

Primary practice location

516 W 17TH St Ste a
Santa Ana, CA 92706-3677

Mailing address

516 W 17TH St Ste a
Santa Ana, CA 92706-3677
Phone (714) 972-2506

National Provider Directory

National Provider Directory
Tax ID family
Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

516 W 17th St
Ste A
Santa Ana, CA 92706
Phone (714) 972-2506

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1851536361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 17TH ST STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063677",
            "telephone_number": "714-972-2506",
            "fax_number": "714-972-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 17TH ST STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063677",
            "telephone_number": "714-972-2506",
            "fax_number": "714-972-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETICIA CAMACHO DDS INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-972-2506"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.