Individual provider Active NPI

Alejandro Orendain, D.D.S.

  • General Practice Dentistry
  • Pico Rivera, CA
National Provider Identifier
1992998371
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56104 Issued in CA
Practice address
5048 Waverly Dr
Pico Rivera, CA 90660-2651
Phone
(562) 942-7272
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56104 CA Primary

Addresses

Primary practice location

5048 Waverly Dr
Pico Rivera, CA 90660-2651

Mailing address

5048 Waverly Dr
Pico Rivera, CA 90660-2651
Phone (562) 942-7272

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150810001846 CA Order and Referring Only - DentistPractitioner - Dentist 1052626751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1992998371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 WAVERLY DR",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602651",
            "telephone_number": "562-942-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 WAVERLY DR",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602651",
            "telephone_number": "562-942-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENDAIN",
        "first_name": "ALEJANDRO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

Verify at the official NPI Registry.