Reuben I. Saucedo DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

43492 Issued in CA

Legal business name

REUBEN I. SAUCEDO DDS INC.

Doing business as

Rosedale Dental Care

Practice address

105 E 10TH St
Azusa, CA 91702-2445

Phone

(626) 633-1080

Fax

(626) 633-1096

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Reuben Saucedo, DDS

Title

President

Phone

(626) 633-1080

Specialties & licenses 1

Addresses

Other names 1

• Rosedale Dental Care Doing business as

Locations

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1700207883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 10TH ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022445",
            "telephone_number": "626-633-1080",
            "fax_number": "626-633-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 10TH ST",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022445",
            "telephone_number": "626-633-1080",
            "fax_number": "626-633-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUBEN I. SAUCEDO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-633-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosedale Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Redoblado, D.D.S.
• April M Reed, MS, ATC, CSCS
• Shaquil Reeves
• Lizzette A Regueiro-Nunez, MS, RD, CLE
• Valerie Renteria
• Mayra R Reyes
• Ralph Reyes, DDS
• Romi Ernest Reyes
• Sara Jocelyn Reyes
• Reyes&Reyes D.D.S Dental Corp (Cerritos Dental Group)

• Dentist in Azusa, CA
• Providers in Azusa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.