Oscar a Bracamontes DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2763785 Issued in CA

Legal business name

OSCAR A BRACAMONTES DDS

Practice address

1144 13TH St
Suite 102
Imperial Beach, CA 91932-3675

Phone

(619) 946-1071

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Oscar A Bracamontes, DDSNPI 1851479802

Title

Owner

Phone

(619) 946-1071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Oscar A Bracamontes Doing business as

Locations

Practitioners 1

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

• Oscar A Bracamontes, DDS

  • General Practice Dentistry
  • NPI 1851479802
  NPD (past) Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1174078745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919330999",
            "telephone_number": "619-778-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 13TH ST",
            "address_2": "SUITE 102",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323675",
            "telephone_number": "619-946-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR A BRACAMONTES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "BRACAMONTES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-946-1071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "2763785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2763785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Oscar A Bracamontes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Oh, PHARM.D.
• Leanna Marie Olivas
• Online Spech Therapy P.C.
• Leonor A Ordonez, MD
• Maria Osborn
• Alfonso Osuna
• Alma Guadalupe Paredes, SUD
• Lena Parker, PT, DPT
• Chris D Patton, D.D.S.
• Emily Elizabeth Perrine, PSYD

• Dentist in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.