Marcela Zamora Paulino Dacosta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100521 Issued in CA

Practice address

3410 Grand Ave
Ste F
Chino Hills, CA 91709-1473

Phone

(909) 364-0027

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mpaulinodacosta637884@direct.ochin.org

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

• Rodgers and Sambangi Dental Corporation

  dba Chino Hills Dental Group

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1295828481
  NPD (past)
• Community Health Center of Fort Dodge Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Dodge, IA
  • NPI 1225083728
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1891247631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 GRAND AVE",
            "address_2": "STE F",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091473",
            "telephone_number": "909-364-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 GRAND AVE",
            "address_2": "STE F",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091473",
            "telephone_number": "909-364-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINO DACOSTA",
        "first_name": "MARCELA",
        "middle_name": "ZAMORA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajendra B Patel, M.D.
• Vijay M. Patel, RPH
• Patricia a Brotman M.D. a Professional Corp
• Lyndsi Summer Patton, BCBA
• Nilima Paul
• Jessica E. Paxson, M.D.
• Pediatric Clinic de Chino Hills
• Pediatric Clinic de Chino Hills Inc
• Stephanie Pelayo, PSY.D.
• People's Care Home Health Inc

• Dentist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.