Organization Active NPI

Bonita Clemente Dela Rama, DDS Inc.

  • General Practice Dentistry
  • Daly City, CA
National Provider Identifier
1740413467
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31448 Issued in CA
Legal business name
BONITA CLEMENTE DELA RAMA, DDS INC.
Practice address
980 King PLZ
Suite #1
Daly City, CA 94015-4450
Phone
(650) 878-0651
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Bonita Clemente Dela Rama, DDSNPI 1992924039
Title
Dentist
Phone
(650) 878-0651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31448 CA Primary

Addresses

Primary practice location

980 King PLZ
Suite #1
Daly City, CA 94015-4450

Mailing address

980 King PLZ
Suite #1
Daly City, CA 94015-4450
Phone (650) 878-0651

Other identifiers 1

IdentifierTypeStateIssuer
B31448-01OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

980 King Plz
Ste 1
Daly City, CA 94015
Phone (650) 878-0651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1740413467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 KING PLZ",
            "address_2": "SUITE #1",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154450",
            "telephone_number": "650-878-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 KING PLZ",
            "address_2": "SUITE #1",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154450",
            "telephone_number": "650-878-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA CLEMENTE DELA RAMA, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "DELA RAMA",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "CLEMENTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-878-0651",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B31448-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.