NPIMap

Organization Active NPI

Roberto Figueroa

  • Dentist
  • Ontario, CA
National Provider Identifier
1073740924
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MX12866 Issued in ZZ
Legal business name
ROBERTO FIGUEROA
Practice address
3045 S Archibald Ave Ste H-289
Ontario, CA 91761-9001
Phone
(909) 758-8075
NPI assigned
Jun 18, 2009
Organization subpart
Yes
Parent organization
AMEXUS DENTAL PPOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Roberto Figueroa
Title
President
Phone
(664) 682-6713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X MX12866 ZZ Primary

Addresses

Primary practice location

3045 S Archibald Ave Ste H-289
Ontario, CA 91761-9001

Mailing address

Carlota SS. de M. 749 Col del Rio
Tijuana, BAJA CALIFORNIA 22200
MX
Phone (664) 682-6713

National Provider Directory

National Provider Directory
Tax ID family
Veronica Gonzalez4 organizations share this tax ID, including this one
Part of
Veronica Gonzalez

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1073740924",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CARLOTA SS. DE M. 749 COL DEL RIO",
            "city": "TIJUANA",
            "state": "BAJA CALIFORNIA",
            "postal_code": "22200",
            "telephone_number": "664-682-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S ARCHIBALD AVE STE H-289",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619001",
            "telephone_number": "909-758-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO FIGUEROA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMEXUS DENTAL PPO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "664-682-6713"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ZZ",
            "license": "MX12866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.