NPIMap

Organization Active NPI

Cesar Augusto Manrique Moreno

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1548745300
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CESAR AUGUSTO MANRIQUE MORENO
Practice address
1041 Market St Ste 165
San Diego, CA 92101-7233
Phone
(619) 488-3200
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Dr. Cesar Augusto Manrique Moreno, DDS
Title
Dentist
Phone
(619) 488-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1041 Market St Ste 165
San Diego, CA 92101-7233

Mailing address

4275 Executive SQ Ste 200
La Jolla, CA 92037-1476

Other names 1

  • Cali Baja Medical LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cali Baja Medical LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1548745300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 EXECUTIVE SQ STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 MARKET ST STE 165",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017233",
            "telephone_number": "619-488-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR AUGUSTO MANRIQUE MORENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "MANRIQUE MORENO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-488-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cali Baja Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.