Espino & Medina DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

57425 Issued in CA

Legal business name

ESPINO & MEDINA DDS INC.

Practice address

2211 University Ave.
Riverside, CA 92507

Phone

(951) 289-9198

NPI assigned

Jul 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David O. Medina, DDS

Title

President

Phone

(818) 815-1229

Specialties & licenses 2

Addresses

Other names 2

• ESPINO & MEDINA DDS INC Former legal business name
• Espino & Medina DDS Inc. Former legal business name

Locations

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1083138481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 71126",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92513",
            "telephone_number": "818-815-1229",
            "fax_number": "951-588-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 UNIVERSITY AVE.",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-289-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPINO & MEDINA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-815-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESPINO & MEDINA DDS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Espino & Medina DDS Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samara Esparza
• Violeta Esparza
• Emma Espejel
• Hailey Espejel
• Josue Esperante, MA
• Elizabeth Alicia Espino
• Mark Alan Espinosa, ATC
• Raquel Jane Espinosa, M.D.
• Zuleika Espinoza-Villa
• Alex Espinoza

• Dental Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.