Organization Active NPI

Jaime Acuna Loera, DDS, Inc

  • Dentist
  • San Diego, CA
National Provider Identifier
1508005729
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48320 Issued in CA
Legal business name
JAIME ACUNA LOERA, DDS, INC
Practice address
3388 Palm Ave Ste 101
San Diego, CA 92154-1662
Phone
(619) 424-3456
Fax
(619) 424-3455
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Jaime Acuna Loera, D.D.SNPI 1588723415
Title
Dentist/Owner
Phone
(619) 424-3456

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48320 CA Primary

Addresses

Primary practice location

3388 Palm Ave Ste 101
San Diego, CA 92154-1662

Mailing address

3388 Palm Ave Ste 101
San Diego, CA 92154-1662
Phone (619) 424-3456

Other names 1

  • Dental Arts of Palm Avenue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929003212 CA Part B Supplier - Clinic/Group Practice 3577960871 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

3388 Palm Ave
#101
San Diego, CA 92154
Phone (619) 424-3456

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": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1508005729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 PALM AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541662",
            "telephone_number": "619-424-3456",
            "fax_number": "619-424-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 PALM AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541662",
            "telephone_number": "619-424-3456",
            "fax_number": "619-424-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME ACUNA LOERA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "ACUNA LOERA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "619-424-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts of Palm Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.