Organization Active NPI

Santa Maria Dental Office Inc

  • General Practice Dentistry
  • Bellflower, CA
National Provider Identifier
1942594577
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50005 Issued in CA
Legal business name
SANTA MARIA DENTAL OFFICE INC
Practice address
16900 Lakewood Blvd
Suite 306
Bellflower, CA 90706-8805
Phone
(562) 867-5191
Fax
(562) 925-6757
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Mrs. Hiyasmin Magtibay Policar
Title
Office Manager
Phone
(562) 867-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50005 CA Primary

Addresses

Primary practice location

16900 Lakewood Blvd
Suite 306
Bellflower, CA 90706-8805

Mailing address

16900 Lakewood Blvd
Suite 306
Bellflower, CA 90706-8805
Phone (562) 867-5191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1942594577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 LAKEWOOD BLVD",
            "address_2": "SUITE 306",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068805",
            "telephone_number": "562-867-5191",
            "fax_number": "562-925-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 LAKEWOOD BLVD",
            "address_2": "SUITE 306",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068805",
            "telephone_number": "562-867-5191",
            "fax_number": "562-925-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "POLICAR",
        "authorized_official_first_name": "HIYASMIN",
        "authorized_official_middle_name": "MAGTIBAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-867-5191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.