NPIMap

Organization Active NPI

Largoza Dental Corporation

Doing business as redwood family & cosmetic dentistry

  • Dentist
  • Vallejo, CA
National Provider Identifier
1689751927
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50299 Issued in CA
Legal business name
LARGOZA DENTAL CORPORATION
Doing business as
redwood family & cosmetic dentistry
Practice address
1782 Tuolumne St
Vallejo, CA 94589
Phone
(707) 552-8668
Fax
(707) 552-8052
NPI assigned
Nov 1, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. Eva Marie Z Largoza, DDS
Title
Dentist
Phone
(707) 552-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50299 CA Primary

Addresses

Primary practice location

1782 Tuolumne St
Vallejo, CA 94589

Mailing address

1782 Tuolumne St
Vallejo, CA 94589
Phone (707) 552-8668

Other names 1

  • redwood family & cosmetic dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Largoza Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1689751927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94589",
            "telephone_number": "707-552-8668",
            "fax_number": "707-552-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94589",
            "telephone_number": "707-552-8668",
            "fax_number": "707-552-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGOZA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "LARGOZA",
        "authorized_official_first_name": "EVA MARIE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-552-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "redwood family & cosmetic dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.