Active NPI
Monina Carla Rodriguez De Jesus, DDS
- Dentist
- West Covina, CA
National Provider Identifier
1922839893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 110346
- Practice address
- 266 S Glendora Ave Ste a
West Covina, CA 91790-3042 - Phone
- (626) 598-3344
- NPI assigned
- Aug 12, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 110346 | CA | Primary |
Addresses
Primary practice location
266 S Glendora Ave Ste a
West Covina, CA 91790-3042
Mailing address
9310 Isaac Lord Dr
Rancho Cucamonga, CA 91701-4919
Phone (909) 913-3691
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 |
|---|---|---|---|
| 110346 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1922839893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9310 ISAAC LORD DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917014919",
"telephone_number": "909-913-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 S GLENDORA AVE STE A",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903042",
"telephone_number": "626-598-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "MONINA CARLA",
"middle_name": "RODRIGUEZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "110346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.