Individual provider Active NPI

Janette Segovia Cabalinan, D.D.S.

  • Dentist
  • South Pasadena, CA
National Provider Identifier
1942377445
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49849 Issued in CA
Practice address
820 Mission St Ste a
South Pasadena, CA 91030-3385
Phone
(626) 405-9090
Fax
(626) 405-9080
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49849 CA Primary

Addresses

Primary practice location

820 Mission St Ste a
South Pasadena, CA 91030-3385

Mailing address

820 Mission St Ste a
South Pasadena, CA 91030-3385
Phone (626) 405-9090

Other practice location 1

668 N Los Robles Ave
Pasadena, CA 91101-1004
Phone (626) 405-9090

Other identifiers 1

IdentifierTypeStateIssuer
1821274333MedicaidCA

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

LicenseStateTypeSpecialty
49849CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Janette S. Cabalinan,a Prof. Dental Corp. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942377445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MISSION ST STE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303385",
            "telephone_number": "626-405-9090",
            "fax_number": "626-405-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MISSION ST STE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303385",
            "telephone_number": "626-405-9090",
            "fax_number": "626-405-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "668 N Los Robles Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011004",
            "country_code": "US",
            "telephone_number": "626-405-9090",
            "fax_number": "626-405-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALINAN",
        "first_name": "JANETTE",
        "middle_name": "SEGOVIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821274333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.