Individual provider Active NPI

Aldo Mauricio Espinosa, DDS

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1336292945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47257 Issued in CA
Practice address
1415 Ridgeback Rd
Ste 26
Chula Vista, CA 91910-6932
Phone
(619) 482-3264
Fax
(619) 482-3263
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 47257 CA Primary

Addresses

Primary practice location

1415 Ridgeback Rd
Ste 26
Chula Vista, CA 91910-6932

Mailing address

1415 Ridgeback Rd
Ste 26
Chula Vista, CA 91910-6932
Phone (619) 482-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200427002582 CA Practitioner - DentistPractitioner - Oral Surgery 7618307026 Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336292945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD",
            "address_2": "STE 26",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106932",
            "telephone_number": "619-482-3264",
            "fax_number": "619-482-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD",
            "address_2": "STE 26",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106932",
            "telephone_number": "619-482-3264",
            "fax_number": "619-482-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "ALDO",
        "middle_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.