Organization Active NPI

San Gabriel Valley Foundation for Dental Health

  • Pediatric Dentistry
  • La Puente, CA
National Provider Identifier
1700189495
Registry record updated Dec 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10362 Issued in CA
Legal business name
SAN GABRIEL VALLEY FOUNDATION FOR DENTAL HEALTH
Practice address
14101 Nelson Ave
La Puente, CA 91746-2640
Phone
(626) 688-6407
Fax
(626) 934-2893
NPI assigned
Dec 18, 2010
Last updated
Dec 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2010

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

Authorized official

Name
Mrs. Sondra Contino
Title
Director
Phone
(626) 688-6407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10362 CA Primary

Addresses

Primary practice location

14101 Nelson Ave
La Puente, CA 91746-2640

Mailing address

PO Box 99
Temple City, CA 91780-0099
Phone (626) 688-6407

National Provider Directory

National Provider Directory

Locations

14101 Nelson Ave
La Puente, CA 91746
Phone (425) 318-2081

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": "1292630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292630400000",
    "number": "1700189495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917800099",
            "telephone_number": "626-688-6407",
            "fax_number": "626-934-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 NELSON AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917462640",
            "telephone_number": "626-688-6407",
            "fax_number": "626-934-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL VALLEY FOUNDATION FOR DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-18",
        "last_updated": "2010-12-18",
        "status": "A",
        "authorized_official_last_name": "CONTINO",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-688-6407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "10362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

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