Dennis M. Cabangca

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DENNIS M. CABANGCA

Doing business as

Pegasus Medical & Aesthetic Clinic

Practice address

808 Iowa Ave
Los Banos, CA 93635-3450

Phone

(209) 826-5913

NPI assigned

May 31, 2019

Last updated

May 31, 2019By 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

Dennis CabangcaNPI 1407237670

Title

Ceo

Phone

(209) 704-1189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PEGASUS MEDICAL & AESTHETIC CLINIC Doing business as

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.

• Dennis Mabanag Cabangca, FNP

  • Family Nurse Practitioner
  • Los Banos, CA
  • NPI 1407237670
  NPD Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1730747122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 IOWA AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353450",
            "telephone_number": "209-826-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 IOWA AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353450",
            "telephone_number": "209-826-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M. CABANGCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "CABANGCA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-704-1189"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER FURNISHING",
            "identifier": "95002406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEGASUS MEDICAL & AESTHETIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Davis
• Bianca De la Cruz
• Dmitri De la Cruz, MD
• Emily Delgadillo
• Valery O Delgado
• Dental Hygiene Limited
• Karthikeya Devireddy, MD
• Vijay Devireddy, M.D.
• DO and Huh DDS Inc (Sierra Dental Group)
• DO and Huh, DDS Inc

• General Practice Physician in Los Banos, CA
• Providers in Los Banos, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.