Active NPI
Ricardo Peralta, D.D.S.
- General Practice Dentistry
- National City, CA
National Provider Identifier
1164713889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60326
- Practice address
- 400 Mile of Cars Way Ste a
National City, CA 91950-8540 - Phone
- (619) 477-1970
- Fax
- (619) 477-6117
- NPI assigned
- Apr 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 60326 | CA | Primary |
Addresses
Primary practice location
400 Mile of Cars Way Ste a
National City, CA 91950-8540
Mailing address
400 Mile of Cars Way Ste a
National City, CA 91950-8540
Phone (619) 477-1970
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 |
|---|---|---|---|
| 60326 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1164713889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MILE OF CARS WAY STE A",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919508540",
"telephone_number": "619-477-1970",
"fax_number": "619-477-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MILE OF CARS WAY STE A",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919508540",
"telephone_number": "619-477-1970",
"fax_number": "619-477-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "60326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.