Guerisoli Dental Group Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GUERISOLI DENTAL GROUP INC.

Doing business as

Ashby Dental in Elmwood

Practice address

2507 Ashby Ave
Berkeley, CA 94705-2243

Phone

(510) 549-0133

NPI assigned

Feb 25, 2022

Last updated

Aug 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trina Bertelson

Title

Coo

Phone

(775) 722-1724

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ashby Dental in Elmwood Doing business as

Locations

Practitioners 5

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.

• Christopher Guerisoli, D.D.S.

  • Dentist
  • Piedmont, CA
  • NPI 1528460664
  NPD
• Daniel Craig Eckhard, DMD

  • Dentist
  • Berkeley, CA
  • NPI 1730190802
  NPD (past)
• Howard Y Endo, D.D.S.

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1790007094
  NPD (past)
• Jim Hisao Nishimine, MD

  • Obstetrics & Gynecology Physician
  • Berkeley, CA
  • NPI 1518036714
  NPD (past)
• Lauren Yasuda Rainey, DDS

  • Dentist
  • Berkeley, CA
  • NPI 1346537354
  NPD (past)

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1710633938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052243",
            "telephone_number": "510-549-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052243",
            "telephone_number": "510-549-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052205",
            "country_code": "US",
            "telephone_number": "510-845-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUERISOLI DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "BERTELSON",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "775-722-1724"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "1528460664",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTISTRY",
            "identifier": "1588704142",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashby Dental in Elmwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Michael Guarnieri, PSY.D.
• Maria Victoria Saberon Gueco, DDS
• Maya Dalia Guendelman, PH.D.
• Sylvia Guendelman, PHD, LCSW
• Julie A Guerin, RN
• Anna Michelle Guha, LMFT
• Eugenia Guidi
• Laura Ortiz Guillen, PH.D.
• Jacqueline Guintu
• Mariam Guirguis, PHARMD

• General Practice Dentistry in Berkeley, CA
• Providers in Berkeley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.