NPIMap

Organization Active NPI

Los Alamitos Endodontics Dental Practice of Polk and Livingford

  • Endodontics
  • Los Alamitos, CA
National Provider Identifier
1902012453
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
27471 Issued in CA
Legal business name
LOS ALAMITOS ENDODONTICS DENTAL PRACTICE OF POLK AND LIVINGFORD
Practice address
3551 Farquhar Ave
Suite 201
Los Alamitos, CA 90720-2003
Phone
(562) 596-1664
Fax
(562) 431-5934
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Philip Livingood, D.D.S.NPI 1083728141
Title
Secretary
Phone
(562) 596-1664

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 27471 CA Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 31361 CA

Addresses

Primary practice location

3551 Farquhar Ave
Suite 201
Los Alamitos, CA 90720-2003

Mailing address

3551 Farquhar Ave
Suite 201
Los Alamitos, CA 90720-2003
Phone (562) 596-1664

Other names 1

  • Lawrence H. Ota, DDS & Aileen E. Jitsumyo, DDS A Professional Corporat Former legal business name

National Provider Directory

National Provider Directory

Locations

3551 Farquhar Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 596-1664

Practitioners & affiliated clinicians

Practitioners 4

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1902012453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FARQUHAR AVE",
            "address_2": "SUITE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202003",
            "telephone_number": "562-596-1664",
            "fax_number": "562-431-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FARQUHAR AVE",
            "address_2": "SUITE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202003",
            "telephone_number": "562-596-1664",
            "fax_number": "562-431-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALAMITOS ENDODONTICS DENTAL PRACTICE OF POLK AND LIVINGFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "LIVINGOOD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "562-596-1664",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "27471",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "31361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence H. Ota, DDS & Aileen E. Jitsumyo, DDS A Professional Corporat",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.