NPIMap

Organization Active NPI

Amardeep Gill and Reymond Bautista Dental Corporation

  • General Practice Dentistry
  • El Cerrito, CA
National Provider Identifier
1609393206
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMARDEEP GILL AND REYMOND BAUTISTA DENTAL CORPORATION
Practice address
170 El Cerrito PLZ
El Cerrito, CA 94530-4002
Phone
(925) 294-0665
Fax
(925) 478-5081
NPI assigned
Aug 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Amardeep Gill
Title
Owner
Phone
(925) 294-0665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

170 El Cerrito PLZ
El Cerrito, CA 94530-4002

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8500

National Provider Directory

National Provider Directory

Locations

170 El Cerrito Plz
El Cerrito, CA 94530
Phone (925) 294-0665

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1609393206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EL CERRITO PLZ",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304002",
            "telephone_number": "925-294-0665",
            "fax_number": "925-478-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARDEEP GILL AND REYMOND BAUTISTA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "AMARDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-294-0665"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.