Individual provider Active NPI

Pedro Onofre Clemente, RDHAP

  • Dental Hygienist
  • Los Angeles, CA
National Provider Identifier
1891699179
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1276 Issued in CA
Practice address
5618 Carlin St Apt 2
Los Angeles, CA 90016-2555
Phone
(213) 719-6552
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1276 CA Primary

Addresses

Primary practice location

5618 Carlin St Apt 2
Los Angeles, CA 90016-2555

Mailing address

5618 Carlin St Apt 2
Los Angeles, CA 90016-2555
Phone (213) 719-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1891699179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 CARLIN ST APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162555",
            "telephone_number": "213-719-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 CARLIN ST APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162555",
            "telephone_number": "213-719-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOFRE CLEMENTE",
        "first_name": "PEDRO",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "1276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.