NPIMap

Organization Active NPI

Ricardo and Maria Pellegrini DDS a Dental Corporation

  • Dental Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1073719274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
51128 Issued in CA
Legal business name
RICARDO AND MARIA PELLEGRINI DDS A DENTAL CORPORATION
Practice address
14435 Hamlin St
Suite # 210
Van Nuys, CA 91401-6205
Phone
(818) 908-4090
Fax
(818) 908-4023
NPI assigned
Jun 25, 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. Ricardo Angel Pellegrini, DDSNPI 1639385156
Title
President
Phone
(818) 908-4090

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
Dental Clinic/Center 261QD0000X 51128 CA Primary

Addresses

Primary practice location

14435 Hamlin St
Suite # 210
Van Nuys, CA 91401-6205

Mailing address

14435 Hamlin St
Suite # 210
Van Nuys, CA 91401-6205
Phone (818) 908-4090

Other identifiers 1

IdentifierTypeStateIssuer
51128OtherCADELTA DENTAL

National Provider Directory

National Provider Directory

Locations

14435 Hamlin St
Ste 210
Van Nuys, CA 91401
Phone (818) 908-4090

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073719274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST",
            "address_2": "SUITE # 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-908-4090",
            "fax_number": "818-908-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST",
            "address_2": "SUITE # 210",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-908-4090",
            "fax_number": "818-908-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO AND MARIA PELLEGRINI DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINI",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-908-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "51128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, 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.