Sonia Arevalo, DMD
Individual provider Active NPI Pediatric Dentistry · Ceres, CA
NPI 1134485907 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1134485907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 64678 (CA)
- Practice address
- 2561 3Rd St Ste B
Ceres, CA 95307-3230 - Phone
- (209) 538-9299
- NPI assigned
- Apr 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonia Arevalo DMD Inc | Current | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 64678 | CA | Yes |
Addresses
Primary practice location
2561 3Rd St Ste B
Ceres, CA 95307-3230
Mailing address
2561 3Rd St Ste B
Ceres, CA 95307-3230
Phone (209) 538-9299
Other practice location 1
1770 Grand Concourse Apt 2F
Bronx, NY 10457-5526
Phone (718) 901-8110
Other providers in Ceres, CA
- Emma Antonio
- Apolinar Madrigal DDS PC
- Carolyn Appeal
- Apria Healthcare LLC
- Angeles Arce
- Jose Alfredo Arevalos Jr.
- Robert Montoya Armendariz
- Celia Ashlock
- Balpreet Attwal
- Yvonne Augustin
All providers in Ceres, CA · Pediatric Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.