NPIMap

Organization Active NPI

Lourdes Cardoso DDS Inc.

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1205482536
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LOURDES CARDOSO DDS INC.
Doing business as
Lourdes Cardoso DDS Inc
Practice address
7270 Victoria Park LN Ste 3a
Rancho Cucamonga, CA 91739-1850
Phone
(909) 803-8641
Fax
(909) 803-8643
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LOURDES CARDOSO DDS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Lourdes Cardoso, DDS
Title
Owner/Ceo
Phone
(909) 803-8641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7270 Victoria Park LN Ste 3a
Rancho Cucamonga, CA 91739-1850

Mailing address

7270 Victoria Park LN Ste 3a
Rancho Cucamonga, CA 91739-1850
Phone (909) 803-8641

Other names 1

  • Lourdes Cardoso DDS Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica Dental Familiar San Judas Tadeo5 organizations share this tax ID, including this one
Part of
Clinica Dental Familiar San Judas Tadeo

Other organizations with this tax ID 4

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

Locations

7270 Victoria Park Ln
Ste 3A
Rancho Cucamonga, CA 91739
Phone (310) 349-7637

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1205482536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 VICTORIA PARK LN STE 3A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917391850",
            "telephone_number": "909-803-8641",
            "fax_number": "909-803-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 VICTORIA PARK LN STE 3A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917391850",
            "telephone_number": "909-803-8641",
            "fax_number": "909-803-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES CARDOSO DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOURDES CARDOSO DDS INC.",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "CARDOSO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-803-8641",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Cardoso DDS Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.