Organization Active NPI

Bajwa Dental Chula Vista

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1255226890
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BAJWA DENTAL CHULA VISTA
Doing business as
Bajwa Dental Chula Vista
Practice address
1415 Ridgeback Rd Ste 24
Chula Vista, CA 91910-6990
Phone
(619) 216-2807
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Omar Bajwa, DDS
Title
Owner
Phone
(951) 264-8433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1415 Ridgeback Rd Ste 24
Chula Vista, CA 91910-6990

Mailing address

1415 Ridgeback Rd Ste 24
Chula Vista, CA 91910-6990

Other names 1

  • Bajwa Dental Chula Vista Doing business as

National Provider Directory

National Provider Directory

Locations

1415 Ridgeback Rd
Ste 24
Chula Vista, CA 91910
Phone (619) 216-2807

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1255226890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 24",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 24",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106990",
            "telephone_number": "619-216-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAJWA DENTAL CHULA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-264-8433",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bajwa Dental Chula Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.