Individual provider Active NPI

Stella Patricia Patino, DDS

  • Dentist
  • Escondido, CA
National Provider Identifier
1942396817
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51637 Issued in CA
Practice address
127 E 3Rd Ave Ste 100
Escondido, CA 92025-4201
Phone
(760) 740-5979
Fax
(760) 740-0612
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51637 CA Primary

Addresses

Primary practice location

127 E 3Rd Ave Ste 100
Escondido, CA 92025-4201

Mailing address

127 E. 3Rd Ave Ste 100
Escondido, CA 92025-4201
Phone (760) 740-5979

Other names 1

  • Stella Patricia Macias Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1942396817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E. 3RD AVE STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254201",
            "telephone_number": "760-740-5979",
            "fax_number": "760-740-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 3RD AVE STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254201",
            "telephone_number": "760-740-5979",
            "fax_number": "760-740-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "STELLA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELLA",
            "last_name": "MACIAS",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.