Active NPI
Manuel Guerrero Ontiveros, RDH
- Dental Hygienist
- San Diego, CA
National Provider Identifier
1215435235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 31632
- Practice address
- 950 S Euclid Ave
San Diego, CA 92114-6201 - Phone
- (619) 662-4100
- NPI assigned
- Jan 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 31632 | CA | Primary |
Addresses
Primary practice location
950 S Euclid Ave
San Diego, CA 92114-6201
Mailing address
1275 30TH St
San Diego, CA 92154-3476
Phone (619) 662-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31632 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1215435235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 30TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543476",
"telephone_number": "619-662-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S EUCLID AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921146201",
"telephone_number": "619-662-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO ONTIVEROS",
"first_name": "MANUEL",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "31632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.