Dental Office de la Osa DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL OFFICE DE LA OSA DDS INC

Practice address

929 W Foothill Blvd
Upkand, CA 91786

Phone

(909) 966-0192

Fax

(909) 660-1864

NPI assigned

May 8, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BA2050689869As reported in NPPES

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

Authorized official

Name

Jorge C De la Osa

Title

DDS

Phone

(909) 660-1921

Specialties & licenses 1

Addresses

Tax ID family

Bonita Dental Center2 organizations share this tax ID, including this one

Part of

Dental Office de la Osa DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. J. de la Osa Dental Corporation

  dba Bonita Dental Center

  • General Practice Dentistry
  • Lynwood, CA
  • NPI 1750191581
  NPD tax ID

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1407646912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W FOOTHILL BLVD",
            "city": "UPKAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-966-0192",
            "fax_number": "909-660-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W FOOTHILL BLVD",
            "city": "UPKAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-966-0192",
            "fax_number": "909-660-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE DE LA OSA DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BA2050689869",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "DE LA OSA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "909-660-1921"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.