Individual provider Active NPI

Jaime Galano Gabuten, D.D.S.

  • General Practice Dentistry
  • Cypress, CA
National Provider Identifier
1366608978
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50749 Issued in CA
Practice address
4917 Lincoln Ave
Cypress, CA 90630-2655
Phone
(714) 826-4250
Fax
(714) 826-4083
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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 50749 CA Primary

Addresses

Primary practice location

4917 Lincoln Ave
Cypress, CA 90630-2655

Mailing address

4917 Lincoln Ave
Cypress, CA 90630-2655
Phone (714) 826-4250

Other names 1

  • Dr. Jaime Valentino Gabuten Professional name

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
50749CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1366608978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "714-826-4250",
            "fax_number": "714-826-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "714-826-4250",
            "fax_number": "714-826-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABUTEN",
        "first_name": "JAIME",
        "middle_name": "GALANO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "GABUTEN",
            "middle_name": "VALENTINO",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; 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.