University of the Pacific

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

UNIVERSITY OF THE PACIFIC

Practice address

155 5TH St
Suite 3E
San Francisco, CA 94103-2919

Phone

(415) 929-6501

Fax

(415) 929-6654

NPI assigned

Feb 28, 2007

Last updated

May 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

UNIVERSITY OF THE PACIFICAs reported in NPPES

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

Authorized official

Name

Mr. Ed Pegueros

Title

Asst Dean, Budget & Fin Admin

Phone

(415) 351-7192

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Orthodontics Clinic Other name

Part of

University of the Pacific Arthur a Dugoni School of Dentistry

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aunyaporn Amornpongchai, AU.D.

  • Audiologist
  • Stockton, CA
  • NPI 1063799740
  NPD (past)
• Meghann Jean Keehner, AUD

  • Audiologist-Hearing Aid Fitter
  • Vacaville, CA
  • NPI 1295383719
  NPD (past)
• David King Lam, MD, DDS, PHD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
  • NPI 1902132244

  Oral and Maxillofacial Surgery

  NPD (past)
• Heesoo Oh, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
  • NPI 1497944060
  NPD (past)
• Joorok Park, D.M.D., M.S.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
  • NPI 1518117506
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1316074149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "SUITE 3E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6501",
            "fax_number": "415-929-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "SUITE 3E",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6501",
            "fax_number": "415-929-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF THE PACIFIC",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "PEGUEROS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ASST DEAN, BUDGET & FIN ADMIN",
        "authorized_official_telephone_number": "415-351-7192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL IDENTIFICATION",
            "identifier": "G01001-03",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• University of San Francisco (University of San Francisco Sports Medicine)
• University of San Francisco
• University of the Pacific
• University of the Pacific (Dugoni School of Dentistry)
• University of the Pacific
• University of the Pacific
• University of the Pacific (Pacific Oral & Maxillofacial Pathology Laboratory)
• University of the Pacific
• University of the Pacific
• University of the Pacific

• Orthodontics and Dentofacial Orthopedics Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.