San Gabrial Family Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAN GABRIAL FAMILY DENTAL CENTER

Doing business as

san gabrial family dental center

Practice address

2684 E Colorado Blvd
Pasadena, CA 91107-3726

Phone

(626) 577-5585

Fax

(626) 577-7075

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vicken Marganian, DDSNPI 1619006699

Title

DDS

Phone

(626) 577-5585

Specialties & licenses 1

Addresses

Other names 1

• san gabrial family dental center Doing business as

Locations

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.

• Vicken Marganian, DDS

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1619006699
  NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1467204982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2684 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073726",
            "telephone_number": "626-577-5585",
            "fax_number": "626-577-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2684 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073726",
            "telephone_number": "626-577-5585",
            "fax_number": "626-577-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIAL FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MARGANIAN",
        "authorized_official_first_name": "VICKEN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "626-577-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san gabrial family dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Samuel
• Steven William Samuels, PHARMD
• Tai Marie Samuels, NP
• Meri Samuelson, LCSW
• John San Felipe, PMHNP-BC
• San Gabriel Valley Grief Resource and Training Center
• San Gabriel Valley Homecare LLC (Salus Homecare)
• San Marino Gardens Wellness Center, LP (Pasadena Park Healthcare And Wellness Center)
• San Marino Skilled Nursing and Wellness Centre
• San Roses Care Hospice Inc

• Dental Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.