Organization Active NPI

Kamlesh Jinjuwadia DDS Inc

Doing business as East Bay Dental Group

  • Dentist
  • Fremont, CA
National Provider Identifier
1659453801
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KAMLESH JINJUWADIA DDS INC
Doing business as
East Bay Dental Group
Practice address
3500 Mowry Ave
Suite a
Fremont, CA 94538-1409
Phone
(510) 796-1499
NPI assigned
Oct 19, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Kamlesh R. Jinjuwadia, D.D.SNPI 1952483117
Title
Ceo
Phone
(510) 796-1499

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

3500 Mowry Ave
Suite a
Fremont, CA 94538-1409

Mailing address

3500 Mowry Ave
Suite a
Fremont, CA 94538-1409
Phone (510) 796-1499

Other names 1

  • East Bay Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kamlesh Jinjuwadia DDS Inc2 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

3500 Mowry Ave
Ste A
Fremont, CA 94538
Phone (510) 796-1499

Practitioners & affiliated clinicians

Practitioners 2

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1659453801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MOWRY AVE",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381409",
            "telephone_number": "510-796-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MOWRY AVE",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381409",
            "telephone_number": "510-796-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMLESH JINJUWADIA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JINJUWADIA",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-796-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.