Ana Luisa Dela Vega

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113240 Issued in CA

Practice address

1957 Fremont Blvd
Seaside, CA 93955-3132

Phone

(831) 296-1333

NPI assigned

May 29, 2024

Last updated

Jul 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1902646813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19637 JUNIPER LOOP",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379292",
            "telephone_number": "510-468-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939553132",
            "telephone_number": "831-296-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94143",
            "country_code": "US",
            "telephone_number": "415-476-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA VEGA",
        "first_name": "ANA LUISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113240",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Daly, R1404710920
• Aykui Damaryan-Nordloff
• Margaret Ann Davidson, LCSW
• Maria G De la Fuente
• Priya C Degani, MFT
• DO and Huh, DDS, Inc
• Kimberly Ann Dollarhide
• Noemi Dunn
• Andrew King Durham
• Edmundo C. Fimbres, O.D.

• General Practice Dentistry in Seaside, CA
• Providers in Seaside, 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 Jul 10, 2026; 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.