Jorge Oaxaca, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

CA37887 Issued in CA

Legal business name

JORGE OAXACA, DDS

Practice address

805 Central Ave
Seal Beach, CA 90740-6309

Phone

(562) 596-1621

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Karah Garrison

Title

Administrator

Phone

(562) 596-1621

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jorge Oaxaca, D.D.S.

  • General Practice Dentistry
  • Seal Beach, CA
  • NPI 1528110384
  NPD (past)
• Howard Ong, D.D.S.

  • General Practice Dentistry
  • Seal Beach, CA
  • NPI 1477605269
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1346777125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTRAL AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "562-596-1621",
            "fax_number": "562-596-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CENTRAL AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406309",
            "telephone_number": "562-596-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE OAXACA, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "KARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-596-1621"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA37887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Kaminski

• Dentist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.