MEDICARE: ALDO MACIAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	62179	KS
2	122300000X	Dentist	111386	CA

General Provider Information

NPI Number	:	1063254878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDO MACIAS

Provider Business Mailing Address
First Line	:	5565 CARPINTERIA AVE STE 2
Second Line	:
City	:	CARPINTERIA
State	:	CA
Zip	:	93013-1446
Country	:	US
Telephone Number	:	805-684-4537
Fax Number	:	805-566-0319

Provider Business Practice Location Address
First Line	:	5565 CARPINTERIA AVE STE 2
Second Line	:
City	:	CARPINTERIA
State	:	CA
Zip	:	93013-1446
Country	:	US
Telephone Number	:	805-684-4537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2024
Last Update Date	:	04/23/2026

Similar Medicare Providers

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Practice Location Address:

5565 CARPINTERIA AVE STE 2
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Practice Location Address:

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1043983547 — KARA L PETERSEN LMFT
Practice Location Address:

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Practice Fax:

Directions to “ ALDO MACIAS ” Practice Location

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