NPIMap

Organization Active NPI

Guillermo S, Castillo DDS Dental Corporation

  • Dentist
  • Upland, CA
National Provider Identifier
1679011472
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50896 Issued in CA
Legal business name
GUILLERMO S, CASTILLO DDS DENTAL CORPORATION
Practice address
1030 E Foothill Blvd # B-102
Upland, CA 91786-4057
Phone
(909) 981-3000
Fax
(909) 981-1311
NPI assigned
Feb 1, 2017
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Gaby Tirado
Title
HR Coordinator
Phone
(760) 244-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50896 CA Primary

Addresses

Primary practice location

1030 E Foothill Blvd # B-102
Upland, CA 91786-4057

Mailing address

15278 Main St
Suite E
Hesperia, CA 92345-3300
Phone (760) 244-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gabyt@citydentalcares.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Guillermo S Castillo DDS Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N Mountain Ave
Ste C105
Upland, CA 91786
Phone (909) 981-1300

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1679011472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15278 MAIN ST",
            "address_2": "SUITE E",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453300",
            "telephone_number": "760-244-1111",
            "fax_number": "760-244-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E FOOTHILL BLVD # B-102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864057",
            "telephone_number": "909-981-3000",
            "fax_number": "909-981-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO S, CASTILLO DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "760-244-1111"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabyt@citydentalcares.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1030 E Foothill Blvd # B-102",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917864057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.