NPIMap

Organization Active NPI

Cambero-Mustafa Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1285889576
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49480 Issued in CA
Legal business name
CAMBERO-MUSTAFA DENTAL CORPORATION
Practice address
8312 Juniper Ave
Fontana, CA 92335-0329
Phone
(909) 350-2583
Fax
(909) 350-7820
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Luis Ruben Cambero, DDSNPI 1104955244
Title
President
Phone
(909) 350-2583

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49480 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 42374 CA

Addresses

Primary practice location

8312 Juniper Ave
Fontana, CA 92335-0329

Mailing address

8312 Juniper Ave
Fontana, CA 92335-0329
Phone (909) 350-2583

National Provider Directory

National Provider Directory
Tax ID family
Cambero Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8312 Juniper Ave
Fontana, CA 92335
Phone (909) 350-2583

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1285889576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 JUNIPER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350329",
            "telephone_number": "909-350-2583",
            "fax_number": "909-350-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 JUNIPER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350329",
            "telephone_number": "909-350-2583",
            "fax_number": "909-350-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBERO-MUSTAFA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "CAMBERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-350-2583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49480",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.