Julio Madrid, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

16205 Seville Ave
Fontana, CA 92335-3383

Phone

(909) 997-3373

NPI assigned

Apr 21, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julio Stephen Madrid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1306233903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 SEVILLE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353383",
            "telephone_number": "909-997-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 SEVILLE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353383",
            "telephone_number": "909-997-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "JULIO",
        "credential": "RDA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "MADRID",
            "middle_name": "STEPHEN",
            "credential": "RDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Firman Madiedo, M.A., CCC-A
• Kyleigh Madill
• Lisa A Madison, AUD
• Kimberly Dennise Madorsky, PA-C
• Jennifer Madrid
• Ivan V. Madzarevic, D.D.S.
• Sylvia Dolores Magallanes, CNM, RNP, MS
• Cecilia R Magana
• Jose Luis Magana, M.D.
• Niranjan Maganti, M.D.

• Dental Assistant in Fontana, CA
• Providers in Fontana, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.