Fidel Garcia Calderon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109847 Issued in CA

Practice address

195 Northwood Ave
San Jacinto, CA 92582-3761

Phone

(951) 564-7083

NPI assigned

Feb 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Garcia & Partners Dental Corporation

  • Dentist
  • Corona, CA
  • NPI 1144181405
  NPD Authorized official
• Garcia & Partners Dental Corporation

  • General Practice Dentistry
  • Corona, CA
  • NPI 1629942032
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1306609334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 NORTHWOOD AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823761",
            "telephone_number": "951-564-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 NORTHWOOD AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823761",
            "telephone_number": "951-564-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CALDERON",
        "first_name": "FIDEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109847",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lea Franken, CAS
• Evelyne Franzua, B.
• Anna Marie Frazer
• Jessica Fumanti, BHSII
• Esteban Jesus Gallegos
• Alexandria Briana Garcia
• Lisa Garcia, FNP
• Garfield Beach CVS, L.L.C
• Lucy N Gathuu
• Holly Gauthun, RDN

• General Practice Dentistry in San Jacinto, CA
• Providers in San Jacinto, 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 Feb 1, 2024; 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.