Individual provider Active NPI

Jose Guadalupe Perez-Luna, D.D.S.

  • General Practice Dentistry
  • Pomona, CA
National Provider Identifier
1679571095
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37152 Issued in CA
Practice address
1690 W Holt Ave
Ste a
Pomona, CA 91768-3319
Phone
(909) 469-6262
Fax
(909) 469-6263
NPI assigned
Jul 9, 2005
Reactivated
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37152 CA Primary

Addresses

Primary practice location

1690 W Holt Ave
Ste a
Pomona, CA 91768-3319

Mailing address

1690 W Holt Ave
Ste a
Pomona, CA 91768-3319
Phone (909) 469-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37152CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679571095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 W HOLT AVE",
            "address_2": "STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683319",
            "telephone_number": "909-469-6262",
            "fax_number": "909-469-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 W HOLT AVE",
            "address_2": "STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683319",
            "telephone_number": "909-469-6262",
            "fax_number": "909-469-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-LUNA",
        "first_name": "JOSE",
        "middle_name": "GUADALUPE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.