Organization Active NPI

Clinica Dental Familiar Seville

  • Dental Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1699970848
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41686 Issued in CA
Legal business name
CLINICA DENTAL FAMILIAR SEVILLE
Practice address
6615 Seville Ave
Huntington Park, CA 90255-4801
Phone
(323) 581-1010
Fax
(323) 581-7598
NPI assigned
Jun 18, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Oscar Ramiro Trigoso, D.D.S.
Title
Owner
Phone
(323) 581-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41686 CA Primary

Addresses

Primary practice location

6615 Seville Ave
Huntington Park, CA 90255-4801

Mailing address

6615 Seville Ave
Huntington Park, CA 90255-4801
Phone (323) 581-1010

Other identifiers 1

IdentifierTypeStateIssuer
G-9245702OtherCADENTICAL

National Provider Directory

National Provider Directory
Tax ID family
Clinica Dental Familiar Seville3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6615 Seville Ave
Huntington Pk, CA 90255
Phone (323) 581-1010

Practitioners & affiliated clinicians

Practitioners 2

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1699970848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554801",
            "telephone_number": "323-581-1010",
            "fax_number": "323-581-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554801",
            "telephone_number": "323-581-1010",
            "fax_number": "323-581-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL FAMILIAR SEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TRIGOSO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "RAMIRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-581-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G-9245702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.