Individual provider Active NPI

Brenda Y Arao

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1568629640
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39590 Issued in CA
Practice address
1970 E Vista Way
Suite 202
Vista, CA 92084-3301
Phone
(760) 724-0844
NPI assigned
May 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39590 CA Primary

Addresses

Primary practice location

1970 E Vista Way
Suite 202
Vista, CA 92084-3301

Mailing address

1970 E Vista Way
Suite 202
Vista, CA 92084-3301
Phone (760) 724-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1568629640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E VISTA WAY",
            "address_2": "SUITE 202",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843301",
            "telephone_number": "760-724-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E VISTA WAY",
            "address_2": "SUITE 202",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843301",
            "telephone_number": "760-724-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAO",
        "first_name": "BRENDA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.