Organization Active NPI

Jorge Vasquez-Garcia DDS Dental Corp

  • Dental Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1124393954
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53286 Issued in CA
Legal business name
JORGE VASQUEZ-GARCIA DDS DENTAL CORP
Practice address
750 Stony Point Rd Ste A130
Santa Rosa, CA 95407-6863
Phone
(707) 536-3685
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Jorge Vasquez-Garcia, DDS
Title
President
Phone
(707) 536-3685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53286 CA Primary

Addresses

Primary practice location

750 Stony Point Rd Ste A130
Santa Rosa, CA 95407-6863

Mailing address

750 Stony Point Rd Ste A130
Santa Rosa, CA 95407-6863
Phone (707) 536-3685

National Provider Directory

National Provider Directory

Locations

750 Stony Point Rd
Ste A130
Santa Rosa, CA 95407
Phone (707) 536-3685

Practitioners & affiliated clinicians

Practitioners 1

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": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1124393954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 STONY POINT RD STE A130",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076863",
            "telephone_number": "707-536-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STONY POINT RD STE A130",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076863",
            "telephone_number": "707-536-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE VASQUEZ-GARCIA DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ-GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-536-3685",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.