Active NPI
Imelda Hilda David DMD Inc
- Dentist
- San Diego, CA
National Provider Identifier
1710248208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56120
- Legal business name
- IMELDA HILDA DAVID DMD INC
- Practice address
- 5059 El Cajon Blvd
San Diego, CA 92115-3348 - Phone
- (619) 583-7720
- Fax
- (619) 583-7722
- NPI assigned
- May 31, 2012
- Last updated
- Jun 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imelda Hilda David, DMD
- Title
- President
- Phone
- (619) 583-7720
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56120 | CA | Primary |
Addresses
Primary practice location
5059 El Cajon Blvd
San Diego, CA 92115-3348
Mailing address
11818 Avenida Marcella
El Cajon, CA 92019-4060
Phone (619) 277-7728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014497 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5059 El Cajon Blvd
San Diego, CA 92115
Phone (619) 583-7720
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.
-
- Dentist
- El Cajon, CA
- NPI 1104014497
-
- Dental Hygienist
- San Diego, CA
- NPI 1942687942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338768000000",
"number": "1710248208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11818 AVENIDA MARCELLA",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194060",
"telephone_number": "619-277-7728",
"fax_number": "619-660-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5059 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153348",
"telephone_number": "619-583-7720",
"fax_number": "619-583-7722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMELDA HILDA DAVID DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-31",
"last_updated": "2012-06-04",
"status": "A",
"authorized_official_last_name": "DAVID",
"authorized_official_first_name": "IMELDA",
"authorized_official_middle_name": "HILDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-583-7720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104014497",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.