NPIMap

Organization Active NPI

Sergio P. Saucedo DDS Inc.

  • Dental Clinic/Center
  • Riverside, CA
National Provider Identifier
1124324561
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56687 Issued in CA
Legal business name
SERGIO P. SAUCEDO DDS INC.
Practice address
6165 Valley Springs Pkwy
Suite E
Riverside, CA 92507-0963
Phone
(951) 214-6585
Fax
(951) 214-6589
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Mr. Sergio P SaucedoNPI 1578747820
Title
DDS
Phone
(951) 214-6585

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 56687 CA Primary

Addresses

Primary practice location

6165 Valley Springs Pkwy
Suite E
Riverside, CA 92507-0963

Mailing address

6165 Valley Springs Pkwy
Suite E
Riverside, CA 92507-0963
Phone (951) 214-6585

Other names 1

  • Inner Brightness Dental Pratice Doing business as

National Provider Directory

National Provider Directory

Locations

6165 Valley Springs Pkwy
Ste E
Riverside, CA 92507
Phone (951) 214-6585

Practitioners & affiliated clinicians

Practitioners 4

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": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1124324561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 VALLEY SPRINGS PKWY",
            "address_2": "SUITE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070963",
            "telephone_number": "951-214-6585",
            "fax_number": "951-214-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 VALLEY SPRINGS PKWY",
            "address_2": "SUITE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070963",
            "telephone_number": "951-214-6585",
            "fax_number": "951-214-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO P. SAUCEDO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "951-214-6585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Brightness Dental Pratice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.