NPIMap

Organization Active NPI

University of the Pacific

  • Dentist
  • Union City, CA
National Provider Identifier
1699802215
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY OF THE PACIFIC
Practice address
1203 J St
Union City, CA 94587-3331
Phone
(510) 489-5200
NPI assigned
Feb 28, 2007
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF THE PACIFICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Ed Pegueros
Title
Asst Dean, Budget & Fin Admin
Phone
(415) 351-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1203 J St
Union City, CA 94587-3331

Mailing address

1203 J St
Union City, CA 94587-3331
Phone (510) 489-5200

Other identifiers 1

IdentifierTypeStateIssuer
G01001-06OtherCADENTI-CAL IDENTIFICATION

Other names 3

  • ARTHUR A DUGONI SCHOOL OF DENTISTRY Other name
  • Arthur A. Dugoni School of Dentistry Union City Clinic Other name
  • Union City Other name

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacific29 organizations share this tax ID, including this one
Part of
University of the Pacific

Other organizations with this tax ID 28

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

View all 28

Locations

1203 J St
Union City, CA 94587
Phone (510) 471-2513

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1699802215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 J ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873331",
            "telephone_number": "510-489-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 J ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873331",
            "telephone_number": "510-489-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF THE PACIFIC",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "PEGUEROS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ASST DEAN, BUDGET & FIN ADMIN",
        "authorized_official_telephone_number": "415-351-7192"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL IDENTIFICATION",
            "identifier": "G01001-06",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTHUR A DUGONI SCHOOL OF DENTISTRY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Arthur A. Dugoni School of Dentistry Union City Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Union City",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Union City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.