Organization Active NPI

Louis F Mascola DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Pedro, CA
National Provider Identifier
1891986345
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19931 Issued in CA
Legal business name
LOUIS F MASCOLA DDS INC
Practice address
770 W 9TH St
San Pedro, CA 90731-3602
Phone
(310) 831-2377
Fax
(310) 831-0561
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Dr. Louis Frank Mascola, DDSNPI 1285700294
Title
Owner President
Phone
(310) 831-2377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19931 CA Primary

Addresses

Primary practice location

770 W 9TH St
San Pedro, CA 90731-3602

Mailing address

770 W 9TH St
San Pedro, CA 90731-3602
Phone (310) 831-2377

National Provider Directory

National Provider Directory

Locations

770 W 9th St
San Pedro, CA 90731
Phone (310) 831-2377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1891986345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313602",
            "telephone_number": "310-831-2377",
            "fax_number": "310-831-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313602",
            "telephone_number": "310-831-2377",
            "fax_number": "310-831-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS F MASCOLA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "MASCOLA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-831-2377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "19931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.