Royal Family Dental Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

49059 Issued in CA

Legal business name

ROYAL FAMILY DENTAL INC

Doing business as

Royal Family Dental Inc

Practice address

1455 N Avalon Blvd
Wilmington, CA 90744-1506

Phone

(310) 561-8711

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Elvis Baquero, DDSNPI 1679775829

Title

Dentist

Phone

(310) 561-8711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Family Dental Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elvis Baquero, DDS

  • General Practice Dentistry
  • Wilmington, CA
  • NPI 1679775829
  NPD (past) Authorized official

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1659889715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441506",
            "telephone_number": "310-561-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441506",
            "telephone_number": "310-561-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "BAQUERO",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-561-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "49059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Family Dental Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Rodriguez Cervantes
• Fernando Rodriguez Vega, NP
• Dianne Rojas
• Krystal Rolle, LVN
• Yanett Romero
• RSC Medical Group, a Professional Corporation (El Puerto Medical Group, Inc.)
• S Torbati & D Torbati DDS Inc (Summer Smile Dental)
• Sahawneh Dental Corporation (Bright Now Dental - Wilmington)
• Paul Christopher Salazar
• Maritza Salcido

• Preferred Provider Organization in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.