Eduardo Vasquez DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49825 Issued in CA

Legal business name

EDUARDO VASQUEZ DDS INC

Practice address

12859 Palm St
Garden Grove, CA 92840-6401

Phone

(714) 534-1237

Fax

(714) 530-1747

NPI assigned

Mar 14, 2008

Last updated

Mar 14, 2008By 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

Dr. Eduardo Vasquez, DDSNPI 1366584146

Title

Dentist/Owner

Phone

(714) 534-1237

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Eduardo Vasquez, D.D.S.

  • Dentist
  • La Habra, CA
  • NPI 1366584146
  NPD (past) Authorized official

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1720259096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12859 PALM ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406401",
            "telephone_number": "714-534-1237",
            "fax_number": "714-530-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12859 PALM ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406401",
            "telephone_number": "714-534-1237",
            "fax_number": "714-530-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO VASQUEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-534-1237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E-Care Pharmacy Corp (E-Care Pharmacy)
• Chase Early, RBT
• Arabella Ibo Ebdane
• Douglas Humberto Echeverria
• Edisto Dialysis LLC (Garden Grove Harbor Dialysis)
• Edward Medical Group, Inc
• Edward Medical Ipa, Inc.
• Cassidy Edwards
• Jessica Edwards
• Julianne Pellizzon Edwards, BCBA

• Dental Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.