Seguy & Hernandez, a Dental Part.

Primary specialty

DentistTaxonomy code 122300000X

License

FNP 5936 Issued in CA

Legal business name

SEGUY & HERNANDEZ, A DENTAL PART.

Doing business as

Baseline Dental Practice

Practice address

9560 Baseline Rd
Suite B
Alta Loma, CA 91701-6435

Phone

(909) 987-7676

Fax

(909) 948-9413

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Hernandez, D.D.S.

Title

President

Phone

(909) 987-7676

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Baseline Dental Practice Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1720032287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 BASELINE RD",
            "address_2": "SUITE B",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917016435",
            "telephone_number": "909-987-7676",
            "fax_number": "909-948-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 BASELINE RD",
            "address_2": "SUITE B",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917016435",
            "telephone_number": "909-987-7676",
            "fax_number": "909-948-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUY & HERNANDEZ, A DENTAL PART.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-987-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "FNP 5936",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26528",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37836",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55916",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46081",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "36457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDD",
            "identifier": "41104381",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baseline Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marta E San Martin, RPH
• Elida Sarmiento
• Brandon D Schmid
• Caprice Howry Schweiger, BCBA
• Leo Vic Sebbas, D.C.
• Albert Seguy, D.D.S.
• Alexis Separ
• Niraj V Shah, DDS
• Verdell Simon
• Smiley Homecare LLC

• Dentist in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.