Steven R Bergara D D S Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEVEN R BERGARA D D S INC

Practice address

330 S Garfield Ave Ste 216
Alhambra, CA 91801-3896

Phone

(626) 289-1148

Fax

(626) 289-8327

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Irma Valle-Gonzalez

Title

Office Manager

Phone

(626) 289-1148

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jake Bergara, DDS

  • General Practice Dentistry
  • Alhambra, CA
  • NPI 1417616970
  NPD
• Marc H Shishima, DDS

  • Dentist
  • Alhambra, CA
  • NPI 1427118918
  NPD (past)

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1548089352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S GARFIELD AVE STE 216",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013896",
            "telephone_number": "626-289-1148",
            "fax_number": "626-289-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GARFIELD AVE STE 216",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013896",
            "telephone_number": "626-289-1148",
            "fax_number": "626-289-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R BERGARA D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "VALLE-GONZALEZ",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-289-1148"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James R Stewart, M.D.
• John T Stewart, M.D.

• All providers in Alhambra, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.