Active NPI
Ariel Cisneros
- Dental Assistant
- Torrance, CA
National Provider Identifier
1962640144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 2815
- Practice address
- 21229 Hawthorne Blvd
Torrance, CA 90503-5501 - Phone
- (310) 792-5600
- Fax
- (310) 792-5628
- NPI assigned
- Jan 27, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 2815 | CA | Primary |
Addresses
Primary practice location
21229 Hawthorne Blvd
Torrance, CA 90503-5501
Mailing address
623 Mar Vista Ave
Wilmington, CA 90744-4940
Phone (310) 549-1826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2815 | Other | CA | DENTAL ASSISTANT |
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": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1962640144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 MAR VISTA AVE",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907444940",
"telephone_number": "310-549-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21229 HAWTHORNE BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035501",
"telephone_number": "310-792-5600",
"fax_number": "310-792-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "ARIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "2815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL ASSISTANT",
"identifier": "2815",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.