Imelda Pintado Nagtalon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49154 Issued in CA

Practice address

1175 E Julian St
Suite 4
San Jose, CA 95116-1091

Phone

(408) 993-8491

Fax

(408) 899-2070

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Imelda P Nagtalon DDS., Corp.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1013437094
  NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730238239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E JULIAN ST",
            "address_2": "SUITE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161091",
            "telephone_number": "408-993-8491",
            "fax_number": "408-993-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E JULIAN ST",
            "address_2": "SUITE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161091",
            "telephone_number": "408-993-8491",
            "fax_number": "408-899-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGTALON",
        "first_name": "IMELDA",
        "middle_name": "PINTADO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1402304",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "7401609",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE GOV. PROGRAM",
            "identifier": "G92150-14",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G921514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoinette Marie Ponciano Nagal
• Padmini Nagaraj, LMFT
• Babitha Banu Nagarajan, M.D
• Kaho Nagayama
• Corryna Nagra
• Pragati K Nahar
• Neelima P Naidu, D.D.S
• Aparna R. Naik, D.D.S.
• Minaj Naimi, DDS
• Lin Htut Naing, M.D.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Jul 21, 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.