Osvaldo Rufino Garcia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32460 Issued in CA

Practice address

1428 N Waterman Ave
Suite a
San Bernardino, CA 92404

Phone

(909) 889-1111

Fax

(909) 386-3667

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Osvaldo R. Garcia D.D.S. a Dental Corporation

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1558550525
  NPD Authorized official
• Barouir Deirmenjian Dental Corporation

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1063154003
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164582813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 N WATERMAN AVE",
            "address_2": "SUITE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-889-1111",
            "fax_number": "909-386-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 N WATERMAN AVE",
            "address_2": "SUITE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-889-1111",
            "fax_number": "909-386-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "OSVALDO",
        "middle_name": "RUFINO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "B32460 01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra E Garcia
• Melissa Marie Garcia
• Michelle Garcia
• Michelle R Garcia, LCSW
• Monica Adell Garcia, B00003810125
• Raeanna Jadyn Garcia
• Rebecca Marie Garcia, BCAT
• Reina Elora Garcia
• Richard D. Garcia, D.D.S.
• Shannon N Garcia

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.