Organization Active NPI

Evangelista Dental Group Hillcrest, PC

Doing business as Bella Vita Dental

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1295663854
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EVANGELISTA DENTAL GROUP HILLCREST, PC
Doing business as
Bella Vita Dental
Practice address
3900 5TH Ave Ste 270
San Diego, CA 92103-3137
Phone
(619) 810-1864
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Casey Castle
Title
Director of Payor Contracting
Phone
(912) 732-1504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3900 5TH Ave Ste 270
San Diego, CA 92103-3137

Mailing address

3900 5TH Ave Ste 270
San Diego, CA 92103-3137

Other names 1

  • Bella Vita Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1295663854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 5TH AVE STE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 5TH AVE STE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033137",
            "telephone_number": "619-810-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELISTA DENTAL GROUP HILLCREST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vita Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.