Active NPI
Reynaldo P Barbon Jr,D.D.S. Inc.
- Dentist
- Pasadena, CA
National Provider Identifier
1396078556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51320
- Legal business name
- REYNALDO P BARBON JR,D.D.S. INC.
- Practice address
- 109 W California Blvd
Pasadena, CA 91105-3005 - Phone
- (626) 844-7778
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reynaldo Pestano Barbon Jr.
- Title
- President
- Phone
- (323) 215-6352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51320 | CA | Primary |
Addresses
Primary practice location
109 W California Blvd
Pasadena, CA 91105-3005
Mailing address
109 W California Blvd
Pasadena, CA 91105-3005
National Provider Directory
National Provider DirectoryLocations
109 W California Blvd
Pasadena, CA 91105
Phone (626) 844-7778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1396078556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053005",
"telephone_number": "626-844-7778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REYNALDO P BARBON JR,D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "BARBON",
"authorized_official_first_name": "REYNALDO",
"authorized_official_middle_name": "PESTANO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-215-6352",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "51320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.