P S Patel Professional Dental Corp

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29281 Issued in CA

Legal business name

P S PATEL PROFESSIONAL DENTAL CORP

Doing business as

California Dental Care

Practice address

9275 Baseline Rd
Rancho Cucamonga, CA 91730-1219

Phone

(909) 945-0024

Fax

(909) 948-0506

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Parag S Patel, DDS

Title

Owner

Phone

(909) 945-0024

Specialties & licenses 3

Addresses

Other names 1

• CALIFORNIA DENTAL CARE Doing business as

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386776698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 BASELINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301219",
            "telephone_number": "909-945-0024",
            "fax_number": "909-948-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 BASELINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301219",
            "telephone_number": "909-945-0024",
            "fax_number": "909-948-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P S PATEL PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARAG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-945-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "20545",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29281",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "38728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Outreach Nation, Corp
• Melanie Diaz Ovalle
• Daisy Jo Owens
• Claire Oxtoby, PHD
• Olusola A. Oyemade, M.D.
• Annelise Glori Pacheco
• Catrina Lynnae Pacheco
• Dina Yvania Pacheco, MA
• Jasmine Anita Pacheco
• Luis Pacheco

• Oral and Maxillofacial Surgery (Dentist) in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.