Pinky D. Penalosa, DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS52769 Issued in CA

Legal business name

PINKY D. PENALOSA, DMD INC.

Doing business as

Oasis Dental

Practice address

9203 Archibald Ave
Rancho Cucamonga, CA 91730-5207

Phone

(909) 941-2288

Fax

(909) 941-6688

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pinky Del Fierro Penalosa, DDSNPI 1275654741

Title

President

Phone

(909) 941-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oasis Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pinky Penalosa, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1275654741
  NPD Authorized official

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1295225753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-941-2288",
            "fax_number": "909-941-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-941-2288",
            "fax_number": "909-941-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKY D. PENALOSA, DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "PENALOSA",
        "authorized_official_first_name": "PINKY",
        "authorized_official_middle_name": "DEL FIERRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-941-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS52769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1275654741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.