Organization Active NPI

Mara J Zaragoza Perez

  • General Practice Dentistry
  • San Ysidro, CA
National Provider Identifier
1053224279
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARA J ZARAGOZA PEREZ
Practice address
3975 Camino de la PLZ Ste 208
San Ysidro, CA 92173-5919
Phone
(562) 352-0417
Fax
(562) 366-0560
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Dr. Mara J Zaragoza Perez, DDS
Title
Dentist
Phone
(562) 352-0417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3975 Camino de la PLZ Ste 208
San Ysidro, CA 92173-5919

Mailing address

Torre Norte 2 Fray Servando Teresa de Mier 1351 - 207
Tijuana, BAJA CALIFORNIA 22010
MX

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1053224279",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "TORRE NORTE 2 FRAY SERVANDO TERESA DE MIER 1351 - 207",
            "city": "TIJUANA",
            "state": "BAJA CALIFORNIA",
            "postal_code": "22010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 CAMINO DE LA PLZ STE 208",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921735919",
            "telephone_number": "562-352-0417",
            "fax_number": "562-366-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA J ZARAGOZA PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "ZARAGOZA PEREZ",
        "authorized_official_first_name": "MARA J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-352-0417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ysidro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.