Individual provider Active NPI

Aristedes Cruz Paras, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1437276946
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42394 Issued in CA
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

Updated by the provider on Aug 10, 2021

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 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

LicenseStateTypeSpecialty
42394CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Tuason DDS Inc PastSince Aug 15, 2021 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.

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.

Verify at the official NPI Registry.