Individual provider Active NPI

Maria Luisa Cesicar Vales, D.M.D.

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1295882330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43262 Issued in CA
Practice address
88 E Bonita Rd
Suite F
Chula Vista, CA 91910-3057
Phone
(619) 427-2646
Fax
(619) 427-2642
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43262 CA Primary

Addresses

Primary practice location

88 E Bonita Rd
Suite F
Chula Vista, CA 91910-3057

Mailing address

88 E Bonita Rd
Suite F
Chula Vista, CA 91910-3057
Phone (619) 427-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002831 CA Order and Referring Only - Other (Non-Physician) 8022302942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43262CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Luisa C. Vales, D.M.D., Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295882330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E BONITA RD",
            "address_2": "SUITE F",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103057",
            "telephone_number": "619-427-2646",
            "fax_number": "619-427-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E BONITA RD",
            "address_2": "SUITE F",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103057",
            "telephone_number": "619-427-2646",
            "fax_number": "619-427-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALES",
        "first_name": "MARIA LUISA",
        "middle_name": "CESICAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.