Organization Active NPI

Anthony G. Gallegos, DDS, Inc

  • Dentist
  • Yorba Linda, CA
National Provider Identifier
1700898616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33087 Issued in CA
Legal business name
ANTHONY G. GALLEGOS, DDS, INC
Practice address
4915 Yorba Ranch Rd
Suite C
Yorba Linda, CA 92887-2508
Phone
(714) 777-5973
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony G Gallegos I, DDSNPI 1184634206
Title
President
Phone
(714) 777-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 33087 CA Primary

Addresses

Primary practice location

4915 Yorba Ranch Rd
Suite C
Yorba Linda, CA 92887-2508

Mailing address

4915 Yorba Ranch Rd
Suite C
Yorba Linda, CA 92887-2508
Phone (714) 777-5973

National Provider Directory

National Provider Directory

Locations

4915 Yorba Ranch Rd
Ste C
Yorba Linda, CA 92887
Phone (714) 777-5973

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700898616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 YORBA RANCH RD",
            "address_2": "SUITE C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872508",
            "telephone_number": "714-777-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 YORBA RANCH RD",
            "address_2": "SUITE C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872508",
            "telephone_number": "714-777-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY G. GALLEGOS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-777-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.