Organization Active NPI

Daniel Vasquez D.D.S. a P.C.

  • Dentist
  • Oceanside, CA
National Provider Identifier
1477744738
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42706 Issued in CA
Legal business name
DANIEL VASQUEZ D.D.S. A P.C.
Practice address
3601 Vista Way Ste 105
Oceanside, CA 92056-4559
Phone
(760) 529-5339
Fax
(760) 231-5134
NPI assigned
Aug 1, 2007
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Daniel VasquezNPI 1073675229
Title
President
Phone
(760) 529-5339

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
Dentist 122300000X 42706 CA Primary

Addresses

Primary practice location

3601 Vista Way Ste 105
Oceanside, CA 92056-4559

Mailing address

3601 Vista Way Ste 105
Oceanside, CA 92056-4559
Phone (760) 529-5339

Other identifiers 1

IdentifierTypeStateIssuer
G9212401MedicaidCA

National Provider Directory

National Provider Directory

Locations

3601 Vista Way
Ste 105
Oceanside, CA 92056
Phone (760) 529-5339

161 Thunder Dr
Ste 200
Vista, CA 92083

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1477744738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY STE 105",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "760-529-5339",
            "fax_number": "760-231-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY STE 105",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "760-529-5339",
            "fax_number": "760-231-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL VASQUEZ D.D.S. A P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-529-5339"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9212401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.