NPIMap

Organization Active NPI

Alvarez & Bernardo Dental Corporation

  • General Practice Dentistry
  • Colton, CA
National Provider Identifier
1518326602
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37788 Issued in CA
Legal business name
ALVAREZ & BERNARDO DENTAL CORPORATION
Practice address
1200 E. Washington St.
Ste. F-2
Colton, CA 92324-0520
Phone
(909) 422-0885
Fax
(909) 422-0885
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Dr. Serafin Labao Bernardo Jr., DDS
Title
President/Owner/Dentist
Phone
(909) 422-0885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 37788 CA
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37788 CA Primary

Addresses

Primary practice location

1200 E. Washington St.
Ste. F-2
Colton, CA 92324-0520

Mailing address

P.O. Box 520
1200 E. Washington St., Ste. F-2
Colton, CA 92324-0520
Phone (909) 422-0885

Other identifiers 1

IdentifierTypeStateIssuer
1134261480MedicaidCA

Other names 1

  • St. Patrick Dental Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Alvarez Bernardo Dental Corporatio2 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": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1518326602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 520",
            "address_2": "1200 E. WASHINGTON ST., STE. F-2",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240520",
            "telephone_number": "909-422-0885",
            "fax_number": "909-422-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E. WASHINGTON ST.",
            "address_2": "STE. F-2",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240520",
            "telephone_number": "909-422-0885",
            "fax_number": "909-422-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVAREZ & BERNARDO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "BERNARDO",
        "authorized_official_first_name": "SERAFIN",
        "authorized_official_middle_name": "LABAO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DENTIST",
        "authorized_official_telephone_number": "909-422-0885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37788",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134261480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Patrick Dental Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.