Jose Lucio Vela Gonzales, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101184 Issued in CA

Practice address

1744 University Ave
Suite 102
Riverside, CA 92507-5364

Phone

(951) 782-9585

NPI assigned

Apr 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Flores & Dr. Yabar Dental Office

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1558653592
  NPD (past)
• Wilmer Yabar D.D.S. Inc.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1215488549
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1730614694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 FARMHOUSE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925087151",
            "telephone_number": "951-224-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 UNIVERSITY AVE",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075364",
            "telephone_number": "951-782-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA GONZALES",
        "first_name": "JOSE",
        "middle_name": "LUCIO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ann Vega
• Frank Joseph Vego
• Vein and Aesthetics Clinic Inc
• Stacy Vejar Morales
• Saul Vejar Jr.
• Robert Vela, D.O.
• Edward C. Velarde, MD
• Rachel Velarde
• Krystal Amanda Velasco Hernandez, PMHNP
• Abner Francis Velasco, OD

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, 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 Apr 27, 2017; 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.