NPIMap

Organization Active NPI

Redwood Family & Cosmetic Dentistry

  • Dental Clinic/Center
  • Vallejo, CA
National Provider Identifier
1497280267
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50299 Issued in CA
Legal business name
REDWOOD FAMILY & COSMETIC DENTISTRY
Practice address
1782 Tuolumne St
Vallejo, CA 94589-2619
Phone
(707) 552-8668
Fax
(707) 552-8052
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Eva Marie Zaldivar Largoza, D.D.S.
Title
Doctor/Business Owner
Phone
(707) 552-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50299 CA Primary

Addresses

Primary practice location

1782 Tuolumne St
Vallejo, CA 94589-2619

Mailing address

1782 Tuolumne St
Vallejo, CA 94589-2619
Phone (707) 552-8668

National Provider Directory

National Provider Directory
Tax ID family
Largoza Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1497280267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892619",
            "telephone_number": "707-552-8668",
            "fax_number": "707-552-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892619",
            "telephone_number": "707-552-8668",
            "fax_number": "707-552-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "LARGOZA",
        "authorized_official_first_name": "EVA MARIE",
        "authorized_official_middle_name": "ZALDIVAR",
        "authorized_official_title_or_position": "DOCTOR/BUSINESS OWNER",
        "authorized_official_telephone_number": "707-552-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

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