Organization Active NPI

Cabrera Arellano Dental Corp

  • General Practice Dentistry
  • Lake Elsinore, CA
National Provider Identifier
1316724677
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CABRERA ARELLANO DENTAL CORP
Practice address
361 Railroad Canyon Rd Ste a
Lake Elsinore, CA 92532-4455
Phone
(951) 471-1400
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Jorge Cabrera, DDS
Title
Owner Dentist
Phone
(323) 408-9709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

361 Railroad Canyon Rd Ste a
Lake Elsinore, CA 92532-4455

Mailing address

361 Railroad Canyon Rd Ste a
Lake Elsinore, CA 92532-4455
Phone (951) 471-1400

National Provider Directory

National Provider Directory

Locations

361 Railroad Canyon Rd
Ste A
Lake Elsinore, CA 92532
Phone (714) 553-1543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1316724677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 RAILROAD CANYON RD STE A",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925324455",
            "telephone_number": "951-471-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 RAILROAD CANYON RD STE A",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925324455",
            "telephone_number": "951-471-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRERA ARELLANO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "323-408-9709",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.