Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 1223P0221X | Dentist | Pediatric Dentistry | 41287 | CALIFORNIA | No |
| 2 | 1223X0400X | Dentist | Orthodontics and Dentofacial Orthopedics | 41287 | CALIFORNIA | No |
| 3 | 1223P0221X | Dentist | Pediatric Dentistry | 39025 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | ========= | OTHER | CALIFORNIA | AETNA |
| 2 | ========= | OTHER | CALIFORNIA | UNITED CONCORDIA |
| 3 | ========= | OTHER | CALIFORNIA | EBA |
| 4 | ========= | OTHER | CALIFORNIA | CONNECTICUT GENERAL |
| 5 | ========= | OTHER | CALIFORNIA | GOLDEN WEST |
| 6 | ========= | OTHER | CALIFORNIA | WASHINGTON DENTAL SERVICE |
| 7 | ========= | OTHER | CALIFORNIA | BLUE SHIELD |
| 8 | ========= | OTHER | CALIFORNIA | DELTA DENTAL |
| 9 | ========= | OTHER | CALIFORNIA | BLUE CROSS |
| 10 | ========= | OTHER | CALIFORNIA | GUARDIAN |
| 11 | ========= | OTHER | CALIFORNIA | PACIFIC CARE |
| 12 | ========= | OTHER | CALIFORNIA | MET LIFE |
| 13 | ========= | OTHER | CALIFORNIA | ANTHEM |
| 14 | ========= | OTHER | CALIFORNIA | FORTIS |
| 15 | ========= | OTHER | CALIFORNIA | UNITED HEALTHCARE |
| 16 | ========= | OTHER | CALIFORNIA | DELTA USA |
| 17 | ========= | OTHER | CALIFORNIA | CORE SOURCE |
| 18 | ========= | OTHER | CALIFORNIA | GENWORTH FINANCIAL |
| 19 | ========= | OTHER | CALIFORNIA | ASSURANT EMPLOYEE BENEFIT |
| 20 | ========= | OTHER | CALIFORNIA | CARPENTERS HEALTH & WELFA |
