NPIMap

Organization Active NPI

Bloomfield Dental Group

  • Dentist
  • Cypress, CA
National Provider Identifier
1023227337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47559 Issued in CA
Legal business name
BLOOMFIELD DENTAL GROUP
Practice address
9201 Bloomfield Ave
Cypress, CA 90630-2403
Phone
(714) 827-4990
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Gabriel Scalas, DDSNPI 1639186323
Title
Partner
Phone
(714) 827-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 47559 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 19360 CA

Addresses

Primary practice location

9201 Bloomfield Ave
Cypress, CA 90630-2403

Mailing address

9201 Bloomfield Ave
Cypress, CA 90630-2403

National Provider Directory

National Provider Directory

Locations

9201 Bloomfield Ave
Cypress, CA 90630
Phone (714) 827-4990

Practitioners & affiliated clinicians

Practitioners 2

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023227337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 BLOOMFIELD AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 BLOOMFIELD AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302403",
            "telephone_number": "714-827-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCALAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-827-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47559",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "19360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.