Jebcob

Primary specialty

DentistTaxonomy code 122300000X

License

41648 Issued in CA

Legal business name

JEBCOB

Practice address

527 N Palm Ave
Suite 106
Ontario, CA 91762-3215

Phone

(909) 984-3618

Fax

(909) 984-9479

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Oscar Esparza, D.D.S.

Title

Dentist

Phone

(909) 984-3618

Specialties & licenses 2

Addresses

Other identifiers 4

Tax ID family

Esparza Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Esparza Dental Corporation

  • Preferred Provider Organization
  • Ontario, CA
  • NPI 1962957704
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blanca Esparza, D.D.S.

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1528031788
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1255470803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N PALM AVE STE 106",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623215",
            "telephone_number": "909-984-3618",
            "fax_number": "909-984-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N PALM AVE",
            "address_2": "SUITE 106",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623215",
            "telephone_number": "909-984-3618",
            "fax_number": "909-984-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBCOB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-984-3618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41648",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "10442-1",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D45252--01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "828309",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B41648-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaswant Suthar, DDS, Inc
• Shennen Salcedo Javillo, B.S.
• JDCM Corporation (Trinity Medical Clinic)
• JDCM Corporation (Trinity Medical Clinic)
• JDMD Clinics, Apc
• Jordan Jedlick
• Jazmyn Jefferson
• Sara Jefferson, PSYD
• Youngsen Jeng, DPM
• Jenkins Family Nursing Medical Practice, Inc

• Dentist in Ontario, CA
• Providers in Ontario, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.