Nicholas Sugo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110873 Issued in CA

Practice address

2158 Vista Way Ste 101
Oceanside, CA 92054-5645

Phone

(442) 264-2442

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ybarra Dental Corporation

  dba Oceanside Modern Dentistry

  • Dentist
  • Oceanside, CA
  • NPI 1720760523
  NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1225856925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 VISTA WAY STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545645",
            "telephone_number": "442-264-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 VISTA WAY STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545645",
            "telephone_number": "442-264-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGO",
        "first_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meliza Suarez, FNP
• Rey D Suarez
• Anna Sudit
• Nicole Ruiz Sue
• Lauren Sugay
• Tony Suk, D.D.S.
• Ruby Lorraine Summus, RN-BC
• Sun Health Career Solutions, Inc. (Sun Family Care Services)
• Sandra D Sundel, PH.D.
• Berk Tolga Suntay, MD

• General Practice Dentistry in Oceanside, CA
• Providers in Oceanside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.