Organization Active NPI

Luis Bayardo D.D.S. Inc.

  • General Practice Dentistry
  • Alhambra, CA
National Provider Identifier
1437357514
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUIS BAYARDO D.D.S. INC.
Practice address
369 W Main St Ste C
Alhambra, CA 91801-3483
Phone
(626) 457-1702
Fax
(626) 457-1792
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Luis Bayardo, D.D.SNPI 1861732034
Title
Owner
Phone
(626) 457-1702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

369 W Main St Ste C
Alhambra, CA 91801-3483

Mailing address

369 W Main St Ste C
Alhambra, CA 91801-3483
Phone (626) 457-1702

National Provider Directory

National Provider Directory

Locations

369 W Main St
Ste C
Alhambra, CA 91801
Phone (626) 457-1702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1437357514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 W MAIN ST STE C",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013483",
            "telephone_number": "626-457-1702",
            "fax_number": "626-457-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 W MAIN ST STE C",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013483",
            "telephone_number": "626-457-1702",
            "fax_number": "626-457-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS BAYARDO D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BAYARDO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-457-1702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.