Organization Active NPI

E.C.Galvan DMD Inc

  • Health Maintenance Organization
  • Mountain View, CA
National Provider Identifier
1659613792
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
39406 Issued in CA
Legal business name
E.C.GALVAN DMD INC
Practice address
1674 N Shoreline Blvd
Ste. 126
Mountain View, CA 94043-1374
Phone
(650) 968-6141
Fax
(650) 968-6299
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Evelyn Cruz Galvan, DMD
Title
President
Phone
(951) 453-0024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 39406 CA Primary

Addresses

Primary practice location

1674 N Shoreline Blvd
Ste. 126
Mountain View, CA 94043-1374

Mailing address

1674 N Shoreline Blvd
Ste. 126
Mountain View, CA 94043-1374
Phone (650) 968-6141

National Provider Directory

National Provider Directory

Locations

1674 N Shoreline Blvd
Ste 126
Mountain View, CA 94043
Phone (650) 968-6141

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1659613792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 N SHORELINE BLVD",
            "address_2": "STE. 126",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431374",
            "telephone_number": "650-968-6141",
            "fax_number": "650-968-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 N SHORELINE BLVD",
            "address_2": "STE. 126",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431374",
            "telephone_number": "650-968-6141",
            "fax_number": "650-968-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.C.GALVAN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-453-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "39406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.