Organization Active NPI

PMJ Dental Partnership Coastal

Doing business as Bay View Dental

  • Dentist
  • San Diego, CA
National Provider Identifier
1710886064
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PMJ DENTAL PARTNERSHIP COASTAL
Doing business as
Bay View Dental
Practice address
3737 Moraga Ave Ste A108
San Diego, CA 92117-5471
Phone
(858) 274-4400
Fax
(858) 274-4430
NPI assigned
Nov 3, 2026
Last updated
Nov 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Authorized official

Name
Jaclyn Pena
Title
Coo
Phone
(619) 703-6549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3737 Moraga Ave Ste A108
San Diego, CA 92117-5471

Mailing address

3737 Moraga Ave Ste A108
San Diego, CA 92117-5471
Phone (858) 274-4400

Other names 1

  • Bay View Dental Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1710886064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE A108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175471",
            "telephone_number": "858-274-4400",
            "fax_number": "858-274-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE A108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175471",
            "telephone_number": "858-274-4400",
            "fax_number": "858-274-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMJ DENTAL PARTNERSHIP COASTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "619-703-6549"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay View Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.