Organization Active NPI

Ronaldo C. Vargas D.D.S. Inc.

  • Dentist
  • Buena Park, CA
National Provider Identifier
1164840567
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31992 Issued in CA
Legal business name
RONALDO C. VARGAS D.D.S. INC.
Practice address
6875 Western Ave
Buena Park, CA 90621-3231
Phone
(714) 670-0919
Fax
(714) 670-0870
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mr. Ronaldo Caguia Vargas, D.D.S.NPI 1710020987
Title
Dentist
Phone
(714) 670-0919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31992 CA Primary

Addresses

Primary practice location

6875 Western Ave
Buena Park, CA 90621-3231

Mailing address

6875 Western Ave
Buena Park, CA 90621-3231
Phone (714) 670-0919

Other identifiers 1

IdentifierTypeStateIssuer
1710020987OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

6875 Western Ave
Buena Park, CA 90621
Phone (714) 670-0919

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1164840567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 WESTERN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213231",
            "telephone_number": "714-670-0919",
            "fax_number": "714-670-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 WESTERN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213231",
            "telephone_number": "714-670-0919",
            "fax_number": "714-670-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALDO C. VARGAS D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_middle_name": "CAGUIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-670-0919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1710020987",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.