Organization Active NPI

Victor R. Camones DDS Inc

Doing business as Santa Rosa Dental Office

  • Prosthodontics
  • Brea, CA
National Provider Identifier
1649572330
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
43325 Issued in CA
Legal business name
VICTOR R. CAMONES DDS INC
Doing business as
Santa Rosa Dental Office
Practice address
745 N. Brea Blvd
Brea, CA 92821
Phone
(714) 990-0126
NPI assigned
Dec 1, 2010
Last updated
Aug 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Dr. Victor R. Camones, 43325
Title
Dentist/Prosthodontics
Phone
(714) 990-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 43325 CA Primary

Addresses

Primary practice location

745 N. Brea Blvd
Brea, CA 92821

Mailing address

745 Brea Blvd
Brea, CA 92821
Phone (714) 990-0126

Other names 1

  • Santa Rosa Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

2364 W Lincoln Ave
Anaheim, CA 92801
Phone (562) 906-8868

Practitioners & affiliated clinicians

Practitioners 4

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": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1649572330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-990-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N. BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-990-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR R. CAMONES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMONES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST/PROSTHODONTICS",
        "authorized_official_telephone_number": "714-990-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "43325"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "43325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.