Pacific Dental Group of El Cajon

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2611 Issued in CA

Legal business name

PACIFIC DENTAL GROUP OF EL CAJON

Practice address

865 Jackman St
El Cajon, CA 92020-3052

Phone

(619) 447-3100

Fax

(619) 447-3107

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jovan Djuro Plamenac, DDS

Title

President

Phone

(619) 447-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1275726325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203052",
            "telephone_number": "619-447-3100",
            "fax_number": "619-447-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 JACKMAN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203052",
            "telephone_number": "619-447-3100",
            "fax_number": "619-447-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DENTAL GROUP OF EL CAJON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "PLAMENAC",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_middle_name": "DJURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-447-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING",
            "identifier": "26111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celesta Rannisi Owen, LM
• Latoya Owens
• Rachael Pabis, M.S., CCC-SLP
• Maria Luisa D Pablo
• Cassidy Pacheco
• David Padilla
• Jessica Padilla
• Todd Larry Padilla Sr., LICENSED VOCATIONAL
• Ayesha S. Pagano, SW III
• Philip MW Pailey, MD

• Dental Clinic/Center in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.