Individual provider Active NPI

Geomel Brian Villareal Bebing, DMD

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1417573700
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104939 Issued in CA
Practice address
14140 Meridian Pkwy Ste 102
Riverside, CA 92518-3043
Phone
(951) 450-0258
NPI assigned
Jun 22, 2020
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104939 CA Primary

Addresses

Primary practice location

14140 Meridian Pkwy Ste 102
Riverside, CA 92518-3043

Mailing address

14140 Meridian Pkwy Ste 102
Riverside, CA 92518-3043
Phone (951) 777-2805

Other practice location 1

583 N Azusa Ave
Covina, CA 91722-3502
Phone (626) 331-5822

Other practice location 2

8990 Garfield St Ste 4
Riverside, CA 92503-3922
Phone (951) 777-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104939CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fermina V. Bebing, DDS Inc. General Practice CurrentSince Jul 24, 2022 Accepting new patients

Locations

583 N Azusa Ave
Covina, CA 91722
Phone (626) 331-5822

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1417573700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 MERIDIAN PKWY STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183043",
            "telephone_number": "951-777-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 MERIDIAN PKWY STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183043",
            "telephone_number": "951-450-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 N Azusa Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917223502",
            "country_code": "US",
            "telephone_number": "626-331-5822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8990 Garfield St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033922",
            "country_code": "US",
            "telephone_number": "951-777-2825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBING",
        "first_name": "GEOMEL BRIAN",
        "middle_name": "VILLAREAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.