Coracel Suratos Templo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45536 Issued in CA

Practice address

9349 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730-3567

Phone

(909) 980-6363

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1740348994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9349 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303567",
            "telephone_number": "909-980-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9349 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303567",
            "telephone_number": "909-980-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLO",
        "first_name": "CORACEL",
        "middle_name": "SURATOS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tejada, CMT
• Jacquelin Tejeda, LMFT
• Antonia Tellez, LMFT
• Temecula Valley Family Medical Group
• Denise James Templeton, SLP
• Tender Loving Care Home for Boys, Inc
• Tender Loving Care Home for Boys, Inc
• Brianna Tenorio
• Taylor Nicole Tenorio, OTD, OTR/L
• Marlene Terriquez Ramirez

• General Practice Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.