DR. MIRIAM BAUTISTA BUENAVENTURA DMD
NPI 1003958745
Dentist - General Practice in Los Angeles, CA

Active since February 12, 2007
5031 EAGLE ROCK BLVD, LOS ANGELES, CA 90041(323) 256-6428(323) 256-8439 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Miriam Bautista Buenaventura Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRIAM BAUTISTA BUENAVENTURA DMD (NPI 1003958745) is an individual general practice provider in Los Angeles, California, licensed in California (46030) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1003958745
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIRIAM BAUTISTA BUENAVENTURACredential: DMD
Location Address5031 EAGLE ROCK BLVDLos Angeles, CA 90041-1923
Mailing Address5031 Eagle Rock BlvdLos Angeles, CA 90041-1923 · (323) 256-6428 · Fax (323) 256-8439
Fax(323) 256-8439
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 4, 2018
NPI 1003958745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 46030
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5031 EAGLE ROCK BLVD, Los Angeles, CA 90041

Other Names 1

Professional Name (2)Dr. Miriam Bautista Buenaventura D.d.s.

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
5031 EAGLE ROCK BLVD
LOS ANGELES, CA 90041
Dentist
5031 EAGLE ROCK BLVD
LOS ANGELES, CA 90041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Buenaventura's NPI number?

The NPI number for Miriam Buenaventura is 1003958745. It was assigned to this individual provider in the NPPES registry on February 12, 2007. The provider is also known as Dr. Miriam Bautista Buenaventura D.D.S..

Where is Miriam Buenaventura located?

Miriam Buenaventura practices at 5031 Eagle Rock Blvd, Los Angeles, CA 90041. The listed phone number is (323) 256-6428.

What is Miriam Buenaventura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Miriam Buenaventura accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Miriam Buenaventura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miriam Buenaventura was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.