J.a.Fajardo DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

56587 Issued in CA

Legal business name

J.A.FAJARDO DDS INC.

Practice address

10920 Valley Blvd
El Monte, CA 91731-2515

Phone

(626) 582-8818

Fax

(888) 371-5020

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jose Agapito Tiu Fajardo Jr.NPI 1699957696

Title

President/Dentist

Phone

(626) 582-8818

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jose Agapito Tiu Fajardo Jr., DMD

  • General Practice Dentistry
  • El Monte, CA
  • NPI 1699957696
  NPD (past) Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1689982050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312515",
            "telephone_number": "626-582-8818",
            "fax_number": "888-371-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312515",
            "telephone_number": "626-582-8818",
            "fax_number": "888-371-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.FAJARDO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "JOSE AGAPITO",
        "authorized_official_middle_name": "TIU",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "626-582-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699957696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Ro Ishitani, M.D.
• Monte Iskandaryan, DDS
• Josefina Margarita Islas, M.A.
• Ivancich Podiatry Services, Inc.
• Larry Ivancich
• Toni Jackson-Rainey
• Gary D Jackson
• Sabrina Jackson
• Shari F. Jackson
• Heidy Jaimes

• Dentist in El Monte, CA
• Providers in El Monte, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.