NPIMap

Organization Active NPI

Purita B Ebbay DMD Inc

  • Dentist
  • National City, CA
National Provider Identifier
1033304910
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39789 Issued in CA
Legal business name
PURITA B EBBAY DMD INC
Practice address
1105 E Plaza Blvd
#C
National City, CA 91950
Phone
(619) 477-1577
Fax
(619) 477-6014
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Ms. Purita Bangasan Ebbay, DMDNPI 1417138892
Title
President
Phone
(619) 477-1577

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39789 CA Primary

Addresses

Primary practice location

1105 E Plaza Blvd
#C
National City, CA 91950

Mailing address

1105 E Plaza Blvd
#C
National City, CA 91950
Phone (619) 477-1577

National Provider Directory

National Provider Directory

Locations

1105 E Plaza Blvd
Ste C
National City, CA 91950
Phone (619) 477-1577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1033304910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E PLAZA BLVD",
            "address_2": "#C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-477-1577",
            "fax_number": "619-477-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E PLAZA BLVD",
            "address_2": "#C",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-477-1577",
            "fax_number": "619-477-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURITA B EBBAY DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "EBBAY",
        "authorized_official_first_name": "PURITA",
        "authorized_official_middle_name": "BANGASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-477-1577",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.