James E. Genobaga, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51409 Issued in CA

Legal business name

JAMES E. GENOBAGA, DDS, INC.

Practice address

367 Del Norte Ave
Suite 1
Yuba City, CA 95991-4116

Phone

(530) 763-4231

Fax

(530) 763-4316

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James E. Genobaga I, DDSNPI 1285687715

Title

Owner/Dentist

Phone

(530) 763-4231

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• James Earl Genobaga, DDS

  • Dentist
  • Yuba City, CA
  • NPI 1285687715
  NPD (past) Authorized official

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1346520616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 DEL NORTE AVE",
            "address_2": "SUITE 1",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914116",
            "telephone_number": "530-763-4231",
            "fax_number": "530-763-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 DEL NORTE AVE",
            "address_2": "SUITE 1",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914116",
            "telephone_number": "530-763-4231",
            "fax_number": "530-763-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. GENOBAGA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "GENOBAGA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "530-763-4231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146333",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Yuba City, CA
• Providers in Yuba City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.