Afamilyfriend Teledentistry

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AFAMILYFRIEND TELEDENTISTRY

Practice address

855 Marina Bay Pkwy
Richmond, CA 94804-6497

Phone

(707) 727-8326

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Gary Pascua

Title

Founder

Phone

(760) 436-3335

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1417685041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N WILLOWSPRING DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245634",
            "telephone_number": "760-436-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MARINA BAY PKWY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948046497",
            "telephone_number": "707-727-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFAMILYFRIEND TELEDENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "PASCUA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "760-436-3335"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVING LICENSE",
            "identifier": "E2797118",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "C1120725",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kian Adabi
• Junko Adachi
• Addiction Research and Treatment, Inc (BAART Programs Richmond)
• Addom, Inc. (Amazing Grace Home Health)
• Adeii Health
• Samina Agha, MD
• Angela Isabelle Aguilar
• Evelyn Marina Aguilar
• Jacqueline Josefina Aguilar
• Julia Margarita Aguirre-Garcia

• Health Service Clinic/Center in Richmond, CA
• Providers in Richmond, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.