Organization Active NPI

G. Matin D.D.S Inc.

  • Dentist
  • Sun City, CA
National Provider Identifier
1275947343
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43199 Issued in CA
Legal business name
G. MATIN D.D.S INC.
Practice address
28115 Bradley Rd
Suite 3
Sun City, CA 92586-2239
Phone
(951) 723-1188
Fax
(951) 723-1198
NPI assigned
Jun 17, 2014
Organization subpart
Yes
Parent organization
G. MATIN D.D.S. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Gulalai Matin, DDSNPI 1457543472
Title
Dentist
Phone
(951) 723-1188

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 43199 CA Primary

Addresses

Primary practice location

28115 Bradley Rd
Suite 3
Sun City, CA 92586-2239

Mailing address

28115 Bradley Rd
Suite 3
Sun City, CA 92586-2239
Phone (951) 723-1188

Other names 1

  • McCall Dental Practice Doing business as

National Provider Directory

National Provider Directory
Part of
G Matin DDS Inc

Locations

28115 Bradley Rd
Ste 3
Sun City, CA 92586
Phone (951) 723-1188

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": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1275947343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28115 BRADLEY RD",
            "address_2": "SUITE 3",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862239",
            "telephone_number": "951-723-1188",
            "fax_number": "951-723-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28115 BRADLEY RD",
            "address_2": "SUITE 3",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862239",
            "telephone_number": "951-723-1188",
            "fax_number": "951-723-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. MATIN D.D.S INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G. MATIN D.D.S. INC.",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "MATIN",
        "authorized_official_first_name": "GULALAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-723-1188",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCall Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.