NPIMap

Organization Active NPI

University of the Pacific Arthur a. Dugoni School of Dentistry

  • Dentist
  • San Francisco, CA
National Provider Identifier
1467589747
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY
Practice address
155 5TH St
Suite 2G
San Francisco, CA 94103-2919
Phone
(415) 929-6501
NPI assigned
Feb 27, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF THE PACIFICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Ed Pegueros
Title
Asst Dean, Budget & Fin Admin
Phone
(415) 351-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

155 5TH St
Suite 2G
San Francisco, CA 94103-2919

Mailing address

155 5TH St
Suite 2G
San Francisco, CA 94103-2919
Phone (415) 929-6501

Other identifiers 1

IdentifierTypeStateIssuer
G01001-02OtherCADENTI-CAL IDENTIFICATION

Other names 1

  • Pediatrics Other name

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacific Arthur a Dugoni School of Dentistry29 organizations share this tax ID, including this one
Part of
University of the Pacific Arthur a Dugoni School of Dentistry

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

155 5th St
Ste 2G
San Francisco, CA 94103
Phone (415) 929-6501

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1467589747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "SUITE 2G",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6501",
            "fax_number": "415-929-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 5TH ST",
            "address_2": "SUITE 2G",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032919",
            "telephone_number": "415-929-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF THE PACIFIC",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "PEGUEROS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ASST DEAN, BUDGET & FIN ADMIN",
        "authorized_official_telephone_number": "415-351-7192"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL IDENTIFICATION",
            "identifier": "G01001-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.