Active NPI
Jorge Sanchez, DDS
- Dentist
- Chula Vista, CA
National Provider Identifier
1487231858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106032
- Practice address
- 664 Palomar St Ste 1103
Chula Vista, CA 91911-2611 - Phone
- (619) 429-3948
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106032 | CA | Primary |
Addresses
Primary practice location
664 Palomar St Ste 1103
Chula Vista, CA 91911-2611
Mailing address
664 Palomar St Ste 1103
Chula Vista, CA 91911-2611
Phone (619) 429-3948
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106032 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1487231858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 PALOMAR ST STE 1103",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112611",
"telephone_number": "619-429-3948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 PALOMAR ST STE 1103",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112611",
"telephone_number": "619-429-3948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "JORGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.