Organization Active NPI

Ricardo Peralta DDS Inc

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1235629502
Registry record updated May 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60326 Issued in CA
Legal business name
RICARDO PERALTA DDS INC
Practice address
9855 Erma Rd Ste 103
San Diego, CA 92131-1007
Phone
(858) 578-0120
NPI assigned
May 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2018

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

Authorized official

Name
Ricardo Peralta, DDS
Title
Ceo
Phone
(858) 578-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 60326 CA Primary

Addresses

Primary practice location

9855 Erma Rd Ste 103
San Diego, CA 92131-1007

Mailing address

9855 Erma Rd Ste 103
San Diego, CA 92131-1007
Phone (858) 578-0120

National Provider Directory

National Provider Directory

Locations

9855 Erma Rd
Ste 103
San Diego, CA 92131
Phone (858) 578-0120

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526083200000",
    "number": "1235629502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311007",
            "telephone_number": "858-578-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311007",
            "telephone_number": "858-578-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO PERALTA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-05-12",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-578-0120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "60326",
            "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 May 12, 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.

Verify at the official NPI Registry.