Jose Luis Cardenas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54130 Issued in CA

Practice address

1701 N Main St
Suit 100
Santa Ana, CA 92706-2745

Phone

(714) 667-0367

Fax

(714) 667-0360

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sarmiento and Chara DDS Inc.

  • Dentist
  • Santa Ana, CA
  • NPI 1295863165
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962619403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ARNOLD WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020748",
            "telephone_number": "714-731-5026",
            "fax_number": "714-667-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N MAIN ST",
            "address_2": "SUIT 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062745",
            "telephone_number": "714-667-0367",
            "fax_number": "714-667-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Carbayo, MD
• Nestor Carcache
• Consuelo Carcel, RN
• Sara Eunice Cardenas Arriaga, MPH, RDN
• Jessica Cardenas
• Juan Antonio Cardenas
• Luis Cardenas
• Maria Cardenas
• Mary Cardenas
• Mauricio Alberto Cardenas, DDS

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.