Georgina Babol-Banez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39369 Issued in CA

Practice address

923 N Sunset Ave
West Covina, CA 91790-1244

Phone

(626) 813-1767

Fax

(626) 813-1735

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gentle Care Dentistry of West Covina

  • General Practice Dentistry
  • West Covina, CA
  • NPI 1518166578
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1891848628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 N SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901244",
            "telephone_number": "626-813-1767",
            "fax_number": "626-813-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901244",
            "telephone_number": "626-813-1767",
            "fax_number": "626-813-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABOL-BANEZ",
        "first_name": "GEORGINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39369-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "954810444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azab Medical Associates Inc
• Azhar Ul Haq M D Inc
• Kamel Azmy, M.D.
• B&a Helping Hands Transport
• Samantha L Babcock
• Gabriel Bailey, DO
• Cara Beth Baker, MD
• Carol Baker
• Susie Baker, LCSW
• Timothy L Baker, R.P.T.

• General Practice Dentistry in West Covina, CA
• Providers in West Covina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.