Active NPI
Aristedes Cruz Paras, DDS
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1437276946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42394
- Practice address
- 1061 Saturn Blvd Ste 103
San Diego, CA 92154-2051 - Phone
- (619) 863-0836
- Fax
- (619) 863-0893
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42394 | CA | Primary |
Addresses
Primary practice location
1061 Saturn Blvd Ste 103
San Diego, CA 92154-2051
Mailing address
1061 Saturn Blvd Ste 103
San Diego, CA 92154-2051
Phone (619) 863-0836
Other practice location 1
9373 Mira Mesa Blvd
San Diego, CA 92126-4816
Phone (858) 722-4165
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 |
|---|---|---|---|
| 42394 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Tuason DDS Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- San Diego, CA
- NPI 1023409752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1437276946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 SATURN BLVD STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921542051",
"telephone_number": "619-863-0836",
"fax_number": "619-863-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 SATURN BLVD STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921542051",
"telephone_number": "619-863-0836",
"fax_number": "619-863-0893"
}
],
"practiceLocations": [
{
"address_1": "9373 Mira Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921264816",
"country_code": "US",
"telephone_number": "858-722-4165",
"fax_number": "858-578-7696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARAS",
"first_name": "ARISTEDES",
"middle_name": "CRUZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42394",
"primary": true
}
],
"identifiers": [],
"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 Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.