NPIMap

Organization Active NPI

Delfin Tio DDS Inc.

Doing business as Durfee Dental Office

  • General Practice Dentistry
  • South El Monte, CA
National Provider Identifier
1639229123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39899 Issued in CA
Legal business name
DELFIN TIO DDS INC.
Doing business as
Durfee Dental Office
Practice address
2001 Santa Anita Ave
Suite 204
South El Monte, CA 91733-3442
Phone
(626) 443-3915
Fax
(626) 444-2086
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Delfin Tio, DDSNPI 1508866625
Title
Owner
Phone
(626) 443-3915

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39899 CA Primary

Addresses

Primary practice location

2001 Santa Anita Ave
Suite 204
South El Monte, CA 91733-3442

Mailing address

2001 Santa Anita Ave
Suite 204
South El Monte, CA 91733-3442
Phone (626) 443-3915

Other identifiers 3

IdentifierTypeStateIssuer
239899OtherCADELTA DENTAL OF CA.
B3989903OtherCADENTI-CAL
G9818401OtherCAHEALTHY FAMILIES

Other names 1

  • DURFEE DENTAL OFFICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angeles Crest Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Santa Anita Ave
Ste 204
South El Monte, CA 91733
Phone (626) 443-3915

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639229123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA ANITA AVE",
            "address_2": "SUITE 204",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333442",
            "telephone_number": "626-443-3915",
            "fax_number": "626-444-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA ANITA AVE",
            "address_2": "SUITE 204",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333442",
            "telephone_number": "626-443-3915",
            "fax_number": "626-444-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELFIN TIO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIO",
        "authorized_official_first_name": "DELFIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-443-3915",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CA.",
            "identifier": "239899",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B3989903",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "G9818401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DURFEE DENTAL OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.