Anette Paulina Vistoso Monreal

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

SP308 Issued in CA

Practice address

925 W 34TH St
Los Angeles, CA 90089-0058

Phone

(213) 821-0148

NPI assigned

Aug 10, 2023

Sex

Female

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

Specialty

Dentist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

University of Southern California 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Southern California

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1821168113

  CA

  Medicare reassignment Care Compare group NPD
• University of Southern California

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1427181577
  Care Compare group
• University of Southern California

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1679676639
  Care Compare group
• University of Southern California

  • Community/Retail Pharmacy
  • Alhambra, CA
  • NPI 1790160273
  Care Compare group
• Verdugo Hills Pharmacy Inc

  • Community/Retail Pharmacy
  • Glendale, CA
  • NPI 1144615550
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1982387403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CORSON ST APT 428",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033864",
            "telephone_number": "626-423-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-821-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTOSO MONREAL",
        "first_name": "ANETTE",
        "middle_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "SP308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Medical Partners a Professional Corporation
• Vista West Health Center LP
• Gillian Amber Vista
• Josefina Billedo Viste, MD
• Vistiting Physicians Associates LLC
• Nisha Viswanathan, M.D.
• Vita Health Solutions Inc
• Cristine Vita
• Vital Care Ambulance Inc
• Vital Health Medical Group, Inc.

• All providers in Los Angeles, CA
• Orofacial Pain Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.