Organization Active NPI

Sycamore Dental Associates

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1205215613
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38991 Issued in CA
Legal business name
SYCAMORE DENTAL ASSOCIATES
Practice address
906 Sycamore Ave Ste 200
Vista, CA 92081-7851
Phone
(760) 598-9654
Fax
(760) 598-9878
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Gita Sarkaria Englert, DDSNPI 1740585363
Title
Dentist / Owner
Phone
(760) 598-9654

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 38991 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 39258 CA

Addresses

Primary practice location

906 Sycamore Ave Ste 200
Vista, CA 92081-7851

Mailing address

PO Box 69
Vista, CA 92085-0069
Phone (760) 598-9654

National Provider Directory

National Provider Directory

Locations

906 Sycamore Ave
Ste 200
Vista, CA 92081
Phone (760) 598-9654

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": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1205215613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920850069",
            "telephone_number": "760-598-9654",
            "fax_number": "760-598-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SYCAMORE AVE STE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817851",
            "telephone_number": "760-598-9654",
            "fax_number": "760-598-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "SARKARIA ENGLERT",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "760-598-9654",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38991",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.