NPIMap

Organization Active NPI

Dr. Serena Pugeda, D.M.D.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1194919878
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43064 Issued in CA
Legal business name
DR. SERENA PUGEDA, D.M.D.
Practice address
2518 L St
Suite a
Sacramento, CA 95816-5655
Phone
(916) 446-7768
Fax
(916) 446-9014
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Serena Guerrero Pugeda, D.M.D.NPI 1801805635
Title
Dentist
Phone
(916) 446-7768

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43064 CA Primary

Addresses

Primary practice location

2518 L St
Suite a
Sacramento, CA 95816-5655

Mailing address

2518 L St
Suite a
Sacramento, CA 95816-5655
Phone (916) 446-7768

Other identifiers 1

IdentifierTypeStateIssuer
43064OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Dr Serena G Pugeda DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2518 L St
Ste A
Sacramento, CA 95816
Phone (916) 446-7768

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": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1194919878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 L ST",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165655",
            "telephone_number": "916-446-7768",
            "fax_number": "916-446-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 L ST",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165655",
            "telephone_number": "916-446-7768",
            "fax_number": "916-446-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SERENA PUGEDA, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "PUGEDA",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "GUERRERO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-446-7768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "43064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.