Organization Active NPI

Gugale & Azouz Dental Group of Placerville, Inc

  • General Practice Dentistry
  • Placerville, CA
National Provider Identifier
1497279681
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GUGALE & AZOUZ DENTAL GROUP OF PLACERVILLE, INC
Practice address
941 Spring St Ste 6
Placerville, CA 95667-4546
Phone
(530) 622-9412
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Monika Gugale, DDS
Title
Ceo
Phone
(909) 248-4253

Specialties & licenses 1

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

Addresses

Primary practice location

941 Spring St Ste 6
Placerville, CA 95667-4546

Mailing address

1390 Cedar Dr
Lincoln, CA 95648-8260
Phone (909) 248-4253

National Provider Directory

National Provider Directory

Locations

941 Spring St
Ste 6
Placerville, CA 95667
Phone (530) 622-6412

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1497279681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CEDAR DR",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488260",
            "telephone_number": "909-248-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING ST STE 6",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674546",
            "telephone_number": "530-622-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUGALE & AZOUZ DENTAL GROUP OF PLACERVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "GUGALE",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-248-4253",
        "authorized_official_credential": "DDS"
    },
    "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 Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.