Loc Bao, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44290 Issued in CA

Legal business name

LOC BAO, DDS, INC.

Practice address

4236 El Cajon Blvd
San Diego, CA 92105-1230

Phone

(619) 584-4015

Fax

(619) 584-4016

NPI assigned

Nov 9, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Loc Bao, DDSNPI 1770750424

Title

President

Phone

(619) 584-4015

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loc Bao, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1770750424
  NPD (past) Authorized official
• Quy Lam Phuoc Nguyen, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1174802813
  NPD (past)
• Ken Truong, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1639648454
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1528138039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051230",
            "telephone_number": "619-584-4015",
            "fax_number": "619-584-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051230",
            "telephone_number": "619-584-4015",
            "fax_number": "619-584-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOC BAO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "LOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-584-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B44290-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Christine Loberg, RD
• Aljon Ona Loberia
• Alissia Lobo
• Alvin Joseph Lobo, RPH
• Sarah Lobo
• Local 92109 LLC (Boardwalk Recovery Center)
• Brian J Locascio, MT-BC
• Christopher Laurence Locascio, PSY.D.
• Madeline Jennings Lock
• Corrine Locke

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.