EL SEGUNDO BEAUTIFUL SMILES
NPI 1073974275
Dentist - General Practice in El Segundo, CA

NPI Status: Active since March 15, 2016

Contact Information

390 N SEPULVEDA BLVD
EL SEGUNDO, CA
ZIP 90245
Phone: (310) 322-1814

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 05D2264119
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-10-2026

About EL SEGUNDO BEAUTIFUL SMILES

This page provides the complete NPI Profile along with additional information for El Segundo Beautiful Smiles, a provider established in El Segundo, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1073974275 assigned on March 2016. The practitioner's primary taxonomy code is 1223G0001X with license number 36897 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. El Segundo Beautiful Smiles operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as El Segundo Beautiful Smiles. The authorized official of this NPI record is Silvia Cardona (President)

NPI
1073974275
Provider Legal Name
SILVIA CARDONA DDS MS INC
Other Organization Name
EL SEGUNDO BEAUTIFUL SMILES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
390 N SEPULVEDA BLVD EL SEGUNDO, CA 90245
Location Phone
(310) 322-1814
Mailing Address
390 N SEPULVEDA BLVD EL SEGUNDO, CA 90245
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2016
Last Update Date
03-15-2016
Code Navigator

A dentist like El Segundo Beautiful Smiles is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
36897
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

62446 (CA)
21223G0001XDental Providers

Dentist
General Practice

62440 (CA)
31223G0001XDental Providers

Dentist
General Practice

63918 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SILVIA CARDONA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 322-1814

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2264119
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 11, 2024
Certificate Expiration Date
July 10, 2026
Laboratory Director
AZAM S. RIYAZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to El Segundo Beautiful Smiles to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073974275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 7 + 8 + 2 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073974275.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Specialist
390 N SEPULVEDA BLVD, SUITE 1100
EL SEGUNDO, CA 90245
Physical Therapist
390 N SEPULVEDA BLVD, SUITE 2060
EL SEGUNDO, CA 90245
Physician Assistant (Medical)
390 N SEPULVEDA BLVD, SUITE # 1000
EL SEGUNDO, CA 90245
Family Medicine
390 N SEPULVEDA BLVD, SUITE 1000
EL SEGUNDO, CA 90245
Physician Assistant (Medical)
390 N SEPULVEDA BLVD, 1000
EL SEGUNDO, CA 90245
Optometrist
390 N SEPULVEDA BLVD, SUITE# 1100
EL SEGUNDO, CA 90245
Physical Therapy Assistant
390 N SEPULVEDA BLVD, SUITE #1000
EL SEGUNDO, CA 90245
Clinic/Center
390 N SEPULVEDA BLVD, #1055
EL SEGUNDO, CA 90245
Radiology (Vascular & Interventional Radiology)
390 N SEPULVEDA BLVD, SUITE 1030
EL SEGUNDO, CA 90245
Radiology (Vascular & Interventional Radiology)
390 N SEPULVEDA BLVD, SUITE 1030
EL SEGUNDO, CA 90245
Dentist
390 N SEPULVEDA BLVD, SUITE # 1150
EL SEGUNDO, CA 90245
Naturopath
390 N SEPULVEDA BLVD, SUITE 1140
EL SEGUNDO, CA 90245
Naturopath
390 N SEPULVEDA BLVD, SUITE 1140
EL SEGUNDO, CA 90245
Internal Medicine (Hematology & Oncology)
390 N SEPULVEDA BLVD, 1020
EL SEGUNDO, CA 90245
Prevention Professional
390 N SEPULVEDA BLVD, SUITE 1140
EL SEGUNDO, CA 90245
Physical Therapy Assistant
390 N SEPULVEDA BLVD
EL SEGUNDO, CA 90245
Clinic/Center (Urgent Care)
390 N SEPULVEDA BLVD, SUITE 1000
EL SEGUNDO, CA 90245
Specialist
390 N SEPULVEDA BLVD, SUITE 1100
EL SEGUNDO, CA 90245

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073974275, enumerated as an "organization" on March 15, 2016.

The provider is located at 390 N SEPULVEDA BLVD EL SEGUNDO, CA 90245 and the phone number is (310) 322-1814.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.