Dr Fina Yvette Madrid DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR FINA YVETTE MADRID DDS PC

Practice address

3078 University Ave
San Diego, CA 92104-3034

Phone

(619) 295-8891

Fax

(619) 295-8896

NPI assigned

Feb 4, 2019

Organization subpart

Yes

Parent organization

DR FINA YVETTE MADRID DDS PCAs reported in NPPES

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

Authorized official

Name

Fina Madrid, DDS

Title

President

Phone

(619) 213-3431

Specialties & licenses 1

Addresses

Other names 1

• Pristine Dental Doing business as

Part of

Dr Fina Yvette Madrid DDS PC

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1639634728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 14TH ST APT 1207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017850",
            "telephone_number": "619-213-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043034",
            "telephone_number": "619-295-8891",
            "fax_number": "619-295-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FINA YVETTE MADRID DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR FINA YVETTE MADRID DDS PC",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "FINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-213-3431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.