Organization Active NPI

Sueldo and Perleche Dental Inc

  • General Practice Dentistry
  • Perris, CA
National Provider Identifier
1679890545
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53733 Issued in CA
Legal business name
SUELDO AND PERLECHE DENTAL INC
Practice address
85 Ramona Expy
Suite #7
Perris, CA 92571-7014
Phone
(951) 943-7171
Fax
(951) 943-6366
NPI assigned
Apr 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Alberto Sueldo, DDS
Title
Partner
Phone
(951) 943-7171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 53733 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 55135 CA

Addresses

Primary practice location

85 Ramona Expy
Suite #7
Perris, CA 92571-7014

Mailing address

85 Ramona Expy
Suite #7
Perris, CA 92571-7014
Phone (951) 943-7171

Other identifiers 2

IdentifierTypeStateIssuer
1144406349MedicaidCA
1710197876MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1679890545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RAMONA EXPY",
            "address_2": "SUITE #7",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717014",
            "telephone_number": "951-943-7171",
            "fax_number": "951-943-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RAMONA EXPY",
            "address_2": "SUITE #7",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717014",
            "telephone_number": "951-943-7171",
            "fax_number": "951-943-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUELDO AND PERLECHE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "SUELDO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-943-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53733",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144406349",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710197876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.