Loren Andrew Cadelinia, D.D.S, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

61287 Issued in CA

Practice address

2041 Bronze Star Dr
Ste 100
Woodland, CA 95776-5427

Phone

(530) 662-7592

NPI assigned

Apr 30, 2013

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Gill and Ghazal Dental Corporation

  • General Practice Dentistry
  • Woodland, CA
  • NPI 1104157478
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1992140388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SAN FERNANDO WAY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271911",
            "telephone_number": "415-608-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BRONZE STAR DR",
            "address_2": "STE 100",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765427",
            "telephone_number": "530-662-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADELINIA",
        "first_name": "LOREN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "61287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Ann Butler, LCI04250615
• Cache Creek Lodge
• Cache Creek Lodge Inc
• Cache Creek Lodge, Inc.
• Cache Creek Lodge, Inc.
• Evelyn Joyce Calayag, D.D.S.
• Jeffrey J Caldwell
• Jon Gordon Caldwell, D.O.
• Echoe Camacho
• Jennifer Teal Cameron, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodland, CA
• Providers in Woodland, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.