Individual provider Active NPI

Sergio Eduardo Corbaton Rodriguez, DDS

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1508786138
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
113227 Issued in CA
Practice address
2500 Del Rosa Ave
San Bernardino, CA 92404-4442
Phone
(909) 713-2041
NPI assigned
Jul 15, 2026
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 113227 CA Primary

Addresses

Primary practice location

2500 Del Rosa Ave
San Bernardino, CA 92404-4442

Mailing address

4035 Hickory LN
Chino Hills, CA 91709-2948
Phone (909) 782-7238

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

Practice roles

OrganizationSpecialtyStatusNew patients
JL Lopez Bendezu Dental Corp PastSince Jul 7, 2024 Accepting new patients
Jose Luis Lopez DDS, Inc. PastSince May 12, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1508786138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 HICKORY LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092948",
            "telephone_number": "909-782-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEL ROSA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044442",
            "telephone_number": "909-713-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBATON RODRIGUEZ",
        "first_name": "SERGIO",
        "middle_name": "EDUARDO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.