Active NPI
Maritza Cabezas, DDS, MPH
- Public Health Dentistry
- Los Angeles, CA
National Provider Identifier
1902629975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 45831
- Practice address
- 3530 Wilshire Blvd Ste 1010
Los Angeles, CA 90010-2340 - Phone
- (213) 351-7804
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 45831 | CA | Primary |
Addresses
Primary practice location
3530 Wilshire Blvd Ste 1010
Los Angeles, CA 90010-2340
Mailing address
3530 Wilshire Blvd Ste 1010
Los Angeles, CA 90010-2340
Phone (213) 351-7804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45831 | CA | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1902629975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 WILSHIRE BLVD STE 1010",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102340",
"telephone_number": "213-351-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 WILSHIRE BLVD STE 1010",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102340",
"telephone_number": "213-351-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABEZAS",
"first_name": "MARITZA",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CA",
"license": "45831",
"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 Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.