Organization Active NPI

Ricardo a. Suarez, D.D.S., Inc.

  • Dentist
  • West Covina, CA
National Provider Identifier
1275747255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47567 Issued in CA
Legal business name
RICARDO A. SUAREZ, D.D.S., INC.
Practice address
100 S Vincent Ave Ste 404
West Covina, CA 91790-2902
Phone
(626) 919-4337
Fax
(626) 919-2300
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ricardo Andres Suarez, D.D.S.NPI 1003034059
Title
President - Owner
Phone
(626) 919-4337

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47567 CA Primary

Addresses

Primary practice location

100 S Vincent Ave Ste 404
West Covina, CA 91790-2902

Mailing address

12423 Camilla St
Whittier, CA 90601-3306
Phone (626) 919-4337

National Provider Directory

National Provider Directory

Locations

100 S Vincent Ave
Ste 404
West Covina, CA 91790
Phone (626) 919-4337

Practitioners & affiliated clinicians

Practitioners 1

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275747255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12423 CAMILLA ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013306",
            "telephone_number": "626-919-4337",
            "fax_number": "626-919-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S VINCENT AVE STE 404",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902902",
            "telephone_number": "626-919-4337",
            "fax_number": "626-919-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO A. SUAREZ, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "626-919-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.