NPIMap

Organization Active NPI

Gugale & Azouz Dental Corp

  • General Practice Dentistry
  • Woodland, CA
National Provider Identifier
1174952097
Registry record updated Apr 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GUGALE & AZOUZ DENTAL CORP
Practice address
255 W Court St
Suite C
Woodland, CA 95695-2986
Phone
(530) 666-2117
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2015

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

Authorized official

Name
Monika Gugale, D.D.S.
Title
Ceo
Phone
(909) 248-4253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

255 W Court St
Suite C
Woodland, CA 95695-2986

Mailing address

1390 Cedar Dr
Lincoln, CA 95648-8260
Phone (909) 248-4253

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428105600000",
    "number": "1174952097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CEDAR DR",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488260",
            "telephone_number": "909-248-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W COURT ST",
            "address_2": "SUITE C",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952986",
            "telephone_number": "530-666-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUGALE & AZOUZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2015-04-04",
        "status": "A",
        "authorized_official_last_name": "GUGALE",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-248-4253",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2015; 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.