Jorge H. Zamudio DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

45873 Issued in CA

Legal business name

JORGE H. ZAMUDIO DDS INC.

Practice address

1410 3Rd St. Suite 4
Riverside, CA 92507

Phone

(951) 686-8783

Fax

(951) 686-8784

NPI assigned

Jun 16, 2017

Last updated

Jun 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Hernandez-ZamudioNPI 1609906403

Title

Owner/Ceo

Phone

(951) 318-1740

Specialties & licenses 2

Addresses

Locations

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.

• Jorge Hernandez-Zamudio, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1609906403
  NPD Authorized official

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1265962773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 3RD ST. SUITE 4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-686-8783",
            "fax_number": "951-686-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 3RD ST. SUITE 4",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-686-8783",
            "fax_number": "951-686-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE H. ZAMUDIO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-ZAMUDIO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-318-1740"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45873",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy W Jordan, PA
• Landria Alysia Jordan
• Marisa Jordan
• Selina L Jordan, LMFT
• Jacqueline Jordon
• Jorge L. Geronimo, DDS Prof. Dental Corp.
• Jose Joel Manalese DDS Inc (Regal Dentistry)
• Joseph a. Schneider, Jr., M.D. Inc
• Joseph F. Sedrak M.D., a Medical Corporation
• Joseph G Hubbard MD Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.