El Monte Dental Esthetics and Xray Imaging Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

D33059 Issued in CA

Legal business name

EL MONTE DENTAL ESTHETICS AND XRAY IMAGING INC

Practice address

3022 Tyler Ave
El Monte, CA 91731-3352

Phone

(626) 771-7194

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos A Palacios, DDS,MS

Title

Provider

Phone

(626) 771-7194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1366783391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313352",
            "telephone_number": "626-771-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313352",
            "telephone_number": "626-771-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE DENTAL ESTHETICS AND XRAY IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "626-771-7194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "D33059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Daniel Ehlers
• El Monte City School District
• El Monte City Shool District
• El Monte Clinica Medica General Medical Center, Inc
• El Monte Convalescent Hospital
• El Monte Family Medical Group
• El Monte Healthcare Center, LLC (Penn Mar Healthcare Center)
• El Monte Healthcare Center, LLC (El Monte Healthcare Center)
• El Monte Latino Medical Group Inc. (El Monte Centro Medico Familiar)
• El Monte Nutritional and Medical Supplies

• Preferred Provider Organization in El Monte, CA
• Providers in El Monte, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.