Individual provider Active NPI

Caleigh Isabelle Tsuchiya, DDS

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1639042831
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
112348 Issued in CA
Practice address
1047 Harriman PL Ste B
San Bernardino, CA 92408-4203
Phone
(909) 796-6700
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 112348 CA Primary

Addresses

Primary practice location

1047 Harriman PL Ste B
San Bernardino, CA 92408-4203

Mailing address

11203 Sunkist Dr
Loma Linda, CA 92354-6569
Phone (925) 353-8001

Other practice location 1

27949 Greenspot Rd Ste H
Highland, CA 92346-4444
Phone (909) 864-6010

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112348CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson and Chokka Professional Dental Corporation General Practice Past Accepting new patients
Jackson and Moore Professional Corporation General Practice PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1639042831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 SUNKIST DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546569",
            "telephone_number": "925-353-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 HARRIMAN PL STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084203",
            "telephone_number": "909-796-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27949 Greenspot Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "CA",
            "postal_code": "923464444",
            "country_code": "US",
            "telephone_number": "909-864-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSUCHIYA",
        "first_name": "CALEIGH",
        "middle_name": "ISABELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.