Guillermo Rubiano DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36828 Issued in CA

Legal business name

GUILLERMO RUBIANO DDS INC

Practice address

844 W 9TH St
San Pedro, CA 90731-3604

Phone

(310) 832-4916

Fax

(310) 832-0754

NPI assigned

Mar 12, 2008

Last updated

Mar 25, 2014By 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. Guillermo Javier Rubiano, DDSNPI 1588719504

Title

Dentist/President

Phone

(310) 832-4916

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Guillermo Javier Rubiano Jr., DDS

  • General Practice Dentistry
  • San Pedro, CA
  • NPI 1588719504
  NPD (past) Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1548431018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313604",
            "telephone_number": "310-832-4916",
            "fax_number": "310-832-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313604",
            "telephone_number": "310-832-4916",
            "fax_number": "310-832-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO RUBIANO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "RUBIANO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "310-832-4916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leonor Guerrero
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• Karla Berenice Guzman Alba, ASW132718

• General Practice Dentistry in San Pedro, CA
• Providers in San Pedro, 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 Mar 25, 2014; 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.