Organization Active NPI

Mobilia DMD Inc.

Doing business as rancho bernardo cosmetic and family dental

  • Point of Service
  • San Diego, CA
National Provider Identifier
1205212586
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
45924 Issued in CA
Legal business name
MOBILIA DMD INC.
Doing business as
rancho bernardo cosmetic and family dental
Practice address
12405 Rancho Bernardo Rd.
San Diego, CA 92128
Phone
(858) 385-1838
Fax
(858) 385-1882
NPI assigned
Aug 10, 2015
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. John Authur Mobilia, DMD
Title
Owner
Phone
(858) 385-1838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 45924 CA Primary

Addresses

Primary practice location

12405 Rancho Bernardo Rd.
San Diego, CA 92128

Mailing address

12405 Rancho Bernardo Rd
San Diego, CA 92128-2143
Phone (858) 385-1838

Other names 1

  • rancho bernardo cosmetic and family dental Doing business as

National Provider Directory

National Provider Directory

Locations

12405 Rancho Bernardo Rd
San Diego, CA 92128
Phone (858) 385-1838

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1205212586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282143",
            "telephone_number": "858-385-1838",
            "fax_number": "858-385-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 RANCHO BERNARDO RD.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92128",
            "telephone_number": "858-385-1838",
            "fax_number": "858-385-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILIA DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "MOBILIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-385-1838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "45924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rancho bernardo cosmetic and family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.