Active NPI
Lymari Jamilette De la Riva Vargas
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1124843271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 107382
- Practice address
- 1072 3Rd Ave Ste a
Chula Vista, CA 91911-2085 - Phone
- (619) 425-5323
- NPI assigned
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 107382 | CA | Primary |
Addresses
Primary practice location
1072 3Rd Ave Ste a
Chula Vista, CA 91911-2085
Mailing address
9902 Jamacha Blvd SPC 23
Spring Valley, CA 91977-8023
Phone (619) 463-0921
Other practice location 1
345 F St
Chula Vista, CA 91910-2626
Phone (619) 249-3829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107382 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aileen Laban Arce Dental Corporation | General Practice | Current | Accepting new patients |
| Maria Guadalupe Estrada-Guevara DDS,Inc. | Past | Accepting new patients |
Locations
1072 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-5323
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Chula Vista, CA
- NPI 1861065245
-
- Dentist
- Chula Vista, CA
- NPI 1134250848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1124843271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 JAMACHA BLVD SPC 23",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919778023",
"telephone_number": "619-463-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 3RD AVE STE A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112085",
"telephone_number": "619-425-5323"
}
],
"practiceLocations": [
{
"address_1": "345 F St",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919102626",
"country_code": "US",
"telephone_number": "619-249-3829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA RIVA VARGAS",
"first_name": "LYMARI",
"middle_name": "JAMILETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "107382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.