Individual provider Active NPI

Alejandra Corpus Galindo-Magallanes, D.D.S.

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1053529834
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38286 Issued in CA
Practice address
740 W 3Rd St
San Bernardino, CA 92410-3212
Phone
(909) 888-3688
Fax
(909) 884-6377
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38286 CA Primary

Addresses

Primary practice location

740 W 3Rd St
San Bernardino, CA 92410-3212

Mailing address

619 Palo Alto Dr
Redlands, CA 92373-7320
Phone (909) 534-4424

Other identifiers 3

IdentifierTypeStateIssuer
4-38286OtherCADELTA DENTAL SAN BDO
D38286-01MedicaidCA
D38286-02MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38286CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1053529834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PALO ALTO DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737320",
            "telephone_number": "909-534-4424",
            "fax_number": "909-884-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W 3RD ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103212",
            "telephone_number": "909-888-3688",
            "fax_number": "909-884-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALINDO-MAGALLANES",
        "first_name": "ALEJANDRA",
        "middle_name": "CORPUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL SAN BDO",
            "identifier": "4-38286",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D38286-01",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D38286-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.