DR. WINSTON MUDITAJAYA DDS
NPI 1366469017
Dentist - General Practice in Pico Rivera, CA

Active since July 17, 2006
9123 SLAUSON AVE, PICO RIVERA, CA 90660(562) 949-0177(562) 949-4776 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Winston Muditajaya Dds NPPES

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

DR. WINSTON MUDITAJAYA DDS (NPI 1366469017) is an individual general practice provider in Pico Rivera, California, licensed in California (44515) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366469017
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WINSTON MUDITAJAYACredential: DDS
Location Address9123 SLAUSON AVEPico Rivera, CA 90660-4522
Mailing Address9123 Slauson AvePico Rivera, CA 90660-4522 · (562) 949-0177 · Fax (562) 949-4776
Fax(562) 949-4776
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateAugust 5, 2011
NPI 1366469017 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 · 44515
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.
9123 SLAUSON AVE, Pico Rivera, CA 90660

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist
9123 SLAUSON AVE
PICO RIVERA, CA 90660
Dentist
9123 SLAUSON AVE
PICO RIVERA, CA 90660
Dentist
9123 SLAUSON AVE
PICO RIVERA, CA 90660
Dentist (General Practice)
9123 SLAUSON AVE
PICO RIVERA, CA 90660

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 Winston Muditajaya's NPI number?

The NPI number for Winston Muditajaya is 1366469017. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Winston Muditajaya located?

Winston Muditajaya practices at 9123 Slauson Ave, Pico Rivera, CA 90660. The listed phone number is (562) 949-0177.

What is Winston Muditajaya's specialty?

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

What insurance does Winston Muditajaya 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 Florida Combined Life and 3 other insurers list Winston Muditajaya 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 Winston Muditajaya was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.