Fernando Pedroza Jr., RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA90318 Issued in CA

Practice address

7257 Dowdy St # a
Gilroy, CA 95020-6123

Phone

(408) 337-7688

NPI assigned

Mar 17, 2020

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

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1245866656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 DOWDY ST # A",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206123",
            "telephone_number": "408-337-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 DOWDY ST # A",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950206123",
            "telephone_number": "408-337-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7257 Dowdy St # A",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950206123",
            "country_code": "US",
            "telephone_number": "408-337-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA90318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Lenae Patino
• Justin Aaron Monzon Paular
• Averi Pavese
• Shatoya Johnson Paz
• Stephanie Pedone
• Omar Alexander Pedroza
• Dalila Peinado, B.A.
• Kyoko Chiemi Pena-Robles, MD, MPH
• Joseph Hector Pena
• John Anthony Perales Sr.

• Dental Assistant in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.