Organization Active NPI

Vimala Vontela, Inc.

  • Dental Clinic/Center
  • Manteca, CA
National Provider Identifier
1275241028
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VIMALA VONTELA, INC.
Practice address
527 E Center St
Manteca, CA 95336-4719
Phone
(209) 823-7655
Fax
(209) 823-7656
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Vimala Vontela, DDSNPI 1578661617
Title
President
Phone
(209) 823-7655

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

527 E Center St
Manteca, CA 95336-4719

Mailing address

527 E Center St
Manteca, CA 95336-4719
Phone (209) 823-7655

National Provider Directory

National Provider Directory

Locations

527 E Center St
Manteca, CA 95336
Phone (209) 823-7655

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1275241028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364719",
            "telephone_number": "209-823-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364719",
            "telephone_number": "209-823-7655",
            "fax_number": "209-823-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIMALA VONTELA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "VONTELA",
        "authorized_official_first_name": "VIMALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-823-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.