Asterio Alexander Galvan Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45861 Issued in CA

Practice address

750 N Archibald Ave
Suite N
Ontario, CA 91764-4647

Phone

(909) 481-2233

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexander a. Galvan DMD

  • Dentist
  • Ontario, CA
  • NPI 1609080316
  NPD (past)
• Alexander a. Galvan, DMD Apc

  • Dental Clinic/Center
  • Rialto, CA
  • NPI 1346663473
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679666507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N ARCHIBALD AVE",
            "address_2": "SUITE N",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644647",
            "telephone_number": "909-481-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N ARCHIBALD AVE",
            "address_2": "SUITE N",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644647",
            "telephone_number": "909-481-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "ASTERIO",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Gabriela Gallegos, EDD
• Geydi Gallegos
• Jaclyn Gallegos
• Hailey Jade Galloso
• Amy Galvan
• Diana Berenice Galvan, MSW
• Hope Galvan
• Megan R Gambino, SLP
• Arika Gamboa
• Christina Gamboa

• General Practice Dentistry in Ontario, CA
• Providers in Ontario, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.