Organization Active NPI

Reynaldo P Barbon Jr,D.D.S. Inc.

  • Dentist
  • Pasadena, CA
National Provider Identifier
1396078556
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51320 Issued in CA
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

Updated by the provider on Sep 4, 2009

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.