Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134297963 Individual Practitioner Female Practitioner

Dr. Divya Ambarish Pathak , DDS

Dentist - General Practice • Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

Dr. Divya Pathak, DDS is a registered healthcare professional specializing in Dentist - General Practice in Los Angeles, CA. Practice services are available at 3756 SANTA ROSALIA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3756 Santa Rosalia Dr
Suite 227

Los Angeles, CA 900083616

Telephone 3232927124
Associated Practice Facility / Clinic
🏢 Victoria Nellie Afriyie Facility NPI 1679580765

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
968 Specialists

Practicing in Los Angeles, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 32930

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Denti-Cal Provider Number
B32930 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elisa Owens

Counselor - Addiction (Substance Use Disorder)

NPI 1013150937
NPI 1013922665

Doctor of Optometry

Rowena Luminarias

Marriage & Family Therapist

NPI 1023961364
Dr. Kim Austin , DDS

Dentist - Periodontics

NPI 1053595926

Doctor of Dental Surgery

Machara Hogue , CMT

Massage Therapist

NPI 1073261806

Certified Massage Therapist

Clyde Arnold

General Practice

NPI 1073723433

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3756 SANTA ROSALIA DR, SUITE 227, LOS ANGELES, CA 900083616 (Tel: 3232927124)

📍
Updated Business Mailing Address July 08, 2007

Registered at 19319 BECHARD AVE, CERRITOS, CA 907037208 (Tel: 5624029437)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIVYA PATHAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #32930 in CA)

🟢
Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134297963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

19319 Bechard Ave

Cerritos, CA 907037208

Phone: 5624029437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.