NPIMap

Organization Active NPI

Dr. Robles Family Dental Office

  • General Practice Dentistry
  • Baldwin Park, CA
National Provider Identifier
1265792105
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35162 Issued in CA
Legal business name
DR. ROBLES FAMILY DENTAL OFFICE
Practice address
13533 Francisquito Ave
Baldwin Park, CA 91706-4834
Phone
(626) 338-7070
Fax
(626) 338-1288
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Mr. Mario Valde Pena Robles, D.D.S.NPI 1740477470
Title
President
Phone
(626) 338-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 35162 CA Primary

Addresses

Primary practice location

13533 Francisquito Ave
Baldwin Park, CA 91706-4834

Mailing address

13533 Francisquito Ave
Baldwin Park, CA 91706-4834
Phone (626) 338-7070

National Provider Directory

National Provider Directory

Locations

13533 Francisquito Ave
Baldwin Park, CA 91706
Phone (626) 338-7070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1265792105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13533 FRANCISQUITO AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064834",
            "telephone_number": "626-338-7070",
            "fax_number": "626-338-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13533 FRANCISQUITO AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064834",
            "telephone_number": "626-338-7070",
            "fax_number": "626-338-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBLES FAMILY DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "VALDE PENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-338-7070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.