Jose Antonio Torres, DDS
Individual provider Active NPI Dentist · Earlimart, CA
NPI 1316174162 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1316174162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 57562 (CA)
- Practice address
- 476 E Washinton Avenue
Earlimart, CA 93219 - Phone
- (661) 849-2781
- Fax
- (661) 849-2719
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170518001455 | CA | Order and Referring Only - Dentist |
6800163023 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57562 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57562 | CA | Yes |
Addresses
Primary practice location
476 E Washinton Avenue
Earlimart, CA 93219
Mailing address
PO Box 790
Parlier, CA 93648-0790
Phone (559) 646-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57562 | Other | CA | DENTAL LICENSE |
Other providers in Earlimart, CA
- Reedley Community Hospital
- Yolanda Medina Robles
- Gary Dominick Schouest
- Brenda Silva
- Violeta Tapia
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
- United Health Centers of the San Joaquin Valley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.