Active NPI
E.C.Galvan DMD Inc
- Health Maintenance Organization
- Mountain View, CA
National Provider Identifier
1659613792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 39406
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.