Edgardo S Rubio DMD Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

61506 Issued in CA

Legal business name

EDGARDO S RUBIO DMD CORP

Practice address

4131 Macdonald Ave
Richmond, CA 94805-2333

Phone

(510) 730-3949

Fax

(510) 609-4946

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Edgardo Sanchez Rubio, DMDNPI 1356697718

Title

Owner

Phone

(510) 730-3949

Specialties & licenses 1

Addresses

Other names 1

• Dr. Edgardo S Rubio DMD CORP Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgardo Sanchez Rubio Jr., D.M.D

  • Dentist
  • Richmond, CA
  • NPI 1356697718
  NPD (past) Authorized official

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1134637499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 HILLTOP MALL RD",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061928",
            "telephone_number": "510-730-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052333",
            "telephone_number": "510-730-3949",
            "fax_number": "510-609-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARDO S RUBIO DMD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "SANCHEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-730-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Edgardo S Rubio DMD CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Danielle Early, MSN, APRN, FNP-C
• East Bay Physical Therapy, Inc.
• Jeffrey A. East, MD
• Easylife DME Solution LLC
• Darla Jean Eboh, ANP
• Chynna Nalani Edwards
• Darnell L. Edwards
• Lafeshia Joy Edwards, MA, IFECTMHP
• Virginia A Edwards, RAS
• Gretchen Marie Eger

• Dental Clinic/Center in Richmond, CA
• Providers in Richmond, 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 Apr 19, 2019; 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.