Organization Active NPI

Martinez & Zermeno Apdc

  • Dental Clinic/Center
  • Yucaipa, CA
National Provider Identifier
1013046861
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTINEZ & ZERMENO APDC
Practice address
12136 4TH St
Yucaipa, CA 92399
Phone
(909) 790-4478
Fax
(909) 790-4479
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Claudia Monica Uribe
Title
Office Manager
Phone
(909) 790-4478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12136 4TH St
Yucaipa, CA 92399

Mailing address

12136 4TH St
Yucaipa, CA 92399
Phone (909) 790-4478

Other identifiers 1

IdentifierTypeStateIssuer
G9411401OtherCADENTICAL

Other names 1

  • Latin American Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

12136 4th St
Yucaipa, CA 92399
Phone (909) 790-4478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1013046861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 4TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-790-4478",
            "fax_number": "909-790-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12136 4TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-790-4478",
            "fax_number": "909-790-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ & ZERMENO APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-790-4478",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9411401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latin American Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.