PALISADES SURGICAL ARTS
NPI 1053845172
Dentist - Oral and Maxillofacial Surgery in Pacific Palisades, CA

Active since April 14, 2017
881 ALMA REAL DR, SUITE T4, PACIFIC PALISADES, CA 90272(310) 459-0014 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palisades Surgical Arts NPPES

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

PALISADES SURGICAL ARTS (NPI 1053845172) is a healthcare organization registered as an oral and maxillofacial surgery in Pacific Palisades, California and active in the NPI registry since April 2017. The organization lists Max Paul Moncayo, President, as its authorized official.

NPPES Registry Identity

NPI1053845172
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMAX MONCAYO DDS DENTAL CORPORATION
Location Address881 ALMA REAL DR, SUITE T4Pacific Palisades, CA 90272-3731
Mailing Address881 Alma Real Dr, Suite T4Pacific Palisades, CA 90272-3731 · (310) 459-0014
Organization SubpartNo
Authorized OfficialMax Paul MoncayoPresident · (310) 459-0014
Enumeration DateApril 14, 2017
NPI 1053845172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 53926
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

881 ALMA REAL DR, Pacific Palisades, CA 90272

Other Names 1

Doing Business AsPalisades Surgical Arts

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Dentist
881 ALMA REAL DR, SUITE 205A
PACIFIC PALISADES, CA 90272
Internal Medicine
881 ALMA REAL DR, SUITE 103
PACIFIC PALISADES, CA 90272
Dentist (Orthodontics and Dentofacial Orthopedics)
881 ALMA REAL DR, SUITE 200
PACIFIC PALISADES, CA 90272
Dentist (General Practice)
881 ALMA REAL DR, SUITE T2
PACIFIC PALISADES, CA 90272
Dentist (General Practice)
881 ALMA REAL DR, SUITE 315
PACIFIC PALISADES, CA 90272
Family Medicine
881 ALMA REAL DR, SUITE 103
PACIFIC PALISADES, CA 90272
Pediatrics
881 ALMA REAL DR, SUITE 316
PACIFIC PALISADES, CA 90272
Acupuncturist
881 ALMA REAL DR, T - 04
PACIFIC PALISADES, CA 90272

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 Max Moncayo Dds Dental Corporation's NPI number?

The NPI number for Max Moncayo Dds Dental Corporation is 1053845172. It was assigned to this organization in the NPPES registry on April 14, 2017. The provider is doing business as Palisades Surgical Arts.

Where is Max Moncayo Dds Dental Corporation located?

Max Moncayo Dds Dental Corporation is located at 881 Alma Real Dr Suite T4, Pacific Palisades, CA 90272. The listed phone number is (310) 459-0014.

What is Max Moncayo Dds Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Max Moncayo Dds Dental Corporation was last updated on April 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.