Active NPI
Marco Antonio Alegria, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1437224466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38955
- Practice address
- 1809 National Ave
San Diego, CA 92113-2113 - Phone
- (619) 515-2300
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38955 | CA | Primary |
Addresses
Primary practice location
1809 National Ave
San Diego, CA 92113-2113
Mailing address
1227 3Rd Ave
Chula Vista, CA 91911
Phone (619) 420-2801
Other practice location 1
1227 3rd Ave
Chula Vista, CA 91911
Phone (619) 420-2801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522836 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38955 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437224466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 3RD AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91911",
"telephone_number": "619-420-2801",
"fax_number": "619-420-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NATIONAL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921132113",
"telephone_number": "619-515-2300"
}
],
"practiceLocations": [
{
"address_1": "1227 3rd Ave",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "91911",
"country_code": "US",
"telephone_number": "619-420-2801",
"fax_number": "619-420-2801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEGRIA",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522836",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.