Active NPI
Sonortica Dent All Group, LLC
- PACE Provider Organization
- San Ysidro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- 2394636
- Legal business name
- SONORTICA DENT ALL GROUP, LLC
- Practice address
- 710 E San Ysidro Blvd
Suite 1007
San Ysidro, CA 92173-3123 - Phone
- (619) 870-9456
- Fax
- (619) 785-3404
- NPI assigned
- Jun 7, 2012
- Last updated
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos Sanchez
- Title
- Ceo
- Phone
- (619) 870-9456
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | 2394636 | ZZ | Primary |
Addresses
Primary practice location
710 E San Ysidro Blvd
Suite 1007
San Ysidro, CA 92173-3123
Mailing address
2043 E Krystal Street
San Luis, AZ 85349
Phone (619) 870-9456
National Provider Directory
National Provider Directory- Tax ID family
- Sonortica Dent All Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- San Luis, AZ
- NPI 1598160038
Locations
710 E San Ysidro Blvd
Ste 1007
San Ysidro, CA 92173
Phone (619) 870-9456
Practitioners & affiliated clinicians
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.
-
- Dentist
- San Ysidro, CA
- NPI 1578827887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1598026379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 E KRYSTAL STREET",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "85349",
"telephone_number": "619-870-9456",
"fax_number": "619-785-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 E SAN YSIDRO BLVD",
"address_2": "SUITE 1007",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921733123",
"telephone_number": "619-870-9456",
"fax_number": "619-785-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONORTICA DENT ALL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-870-9456",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "ZZ",
"license": "2394636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ysidro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.