W Peng Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

W PENG DENTAL CORPORATION

Practice address

30630 Rancho California Rd Ste 504
Temecula, CA 92591-3205

Phone

(951) 694-0545

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By 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

Willard PengNPI 1548544117

Title

Sole Owner

Phone

(818) 653-1246

Specialties & licenses 1

Addresses

Locations

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.

• Willard Peng, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Temecula, CA
  • NPI 1548544117
  Authorized official Same address or phone
• Jorge Edgardo Bustos, DDS

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1962544858
  NPD (past)
• Carolyn Jo Hill, D.D.S.

  • Dentist
  • Temecula, CA
  • NPI 1851465678
  NPD (past)

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1548024060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30630 RANCHO CALIFORNIA RD STE 504",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30630 RANCHO CALIFORNIA RD STE 504",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913205",
            "telephone_number": "951-694-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W PENG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "818-653-1246"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T. Vu, M.D.
• Macybel Vu
• Thanh Vu
• Paul Quoc Vuong
• Sandra Vuong
• Waddell Dialysis LLC (Redhawk Dialysis)
• Diane D Waddell, PHD
• Wade Faerber D.O., a Medical Corporation
• Shirley K Wade
• Valarie Wade

• Dental Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.