Individual provider Active NPI

Lourdes Roberto Gaerlan, D.M.D.

  • General Practice Dentistry
  • Suisun City, CA
National Provider Identifier
1326131210
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39637 Issued in CA
Practice address
141 Sunset Ave
Ste. I and J
Suisun City, CA 94585-6347
Phone
(707) 421-8190
Fax
(707) 421-9145
NPI assigned
Oct 2, 2006
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39637 CA Primary

Addresses

Primary practice location

141 Sunset Ave
Ste. I and J
Suisun City, CA 94585-6347

Mailing address

141 Sunset Ave
Ste. I and J
Suisun City, CA 94585-6347
Phone (707) 421-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39637CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes R. Gaerlan, D.M.D., Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1326131210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SUNSET AVE",
            "address_2": "STE. I AND J",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856347",
            "telephone_number": "707-421-8190",
            "fax_number": "707-421-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SUNSET AVE",
            "address_2": "STE. I AND J",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856347",
            "telephone_number": "707-421-8190",
            "fax_number": "707-421-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERLAN",
        "first_name": "LOURDES",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suisun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.