Active NPI
Guillermo Sanchez, D.D.S.
- General Practice Dentistry
- Fillmore, CA
National Provider Identifier
1356414320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 41784
- Practice address
- 364 Central Ave
Fillmore, CA 93015-1921 - Phone
- (805) 524-4448
- Fax
- (805) 524-4893
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41784 | CA | Primary |
Addresses
Primary practice location
364 Central Ave
Fillmore, CA 93015-1921
Mailing address
364 Central Ave
Fillmore, CA 93015-1921
Phone (805) 524-4448
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G91444-01 | Medicaid | CA | |
| 1421049 | Other | CA | UNITED CONCORDIA |
| B41784-02 | Other | CA | HEALTHY FAMILIES PROGAM |
| B41784-01 | Other | CA | HEALTHY FAMILIES PROGRAM |
| G91444-02 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41784 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1356414320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 CENTRAL AVE",
"city": "FILLMORE",
"state": "CA",
"postal_code": "930151921",
"telephone_number": "805-524-4448",
"fax_number": "805-524-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 CENTRAL AVE",
"city": "FILLMORE",
"state": "CA",
"postal_code": "930151921",
"telephone_number": "805-524-4448",
"fax_number": "805-524-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "GUILLERMO",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "41784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G91444-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1421049",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES PROGAM",
"identifier": "B41784-02",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES PROGRAM",
"identifier": "B41784-01",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G91444-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fillmore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.