Valley Mall Dental MGMT, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48006 Issued in CA

Legal business name

VALLEY MALL DENTAL MGMT, INC

Practice address

11042 Valley Mall
El Monte, CA 91731-2617

Phone

(626) 442-0699

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Alberto Rodriguez, DDS

Title

Dentist

Phone

(626) 442-0699

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carlos T Da Silva, DDS

  • General Practice Dentistry
  • El Monte, CA
  • NPI 1710186564
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1609231786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "626-442-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "626-442-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MALL DENTAL MGMT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-442-0699",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy Valencia
• Sabrina Valentine, RN
• Reyna Valenzuela Cedeno
• Naomie Valenzuela
• Valley Clinica Medica General Medical Center Inc
• Briana Kay Van Scoy, M.A.
• Gabriella M Vargas
• Myrna Vargas, LCSW
• Susana Vargas, FNP
• Traci Renee Vargas, NP

• General Practice Dentistry in El Monte, CA
• Providers in El Monte, 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 Dec 16, 2015; 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.