Individual provider Active NPI

Mario V Robles, DDS

  • General Practice Dentistry
  • Baldwin Park, CA
National Provider Identifier
1740477470
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35162 Issued in CA
Practice address
13533 Francisquito Ave
Baldwin Park, CA 91706-4834
Phone
(626) 338-7070
Fax
(626) 338-1288
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35162 CA Primary

Addresses

Primary practice location

13533 Francisquito Ave
Baldwin Park, CA 91706-4834

Mailing address

13533 Francisquito Ave
Baldwin Park, CA 91706-4834
Phone (626) 338-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35162CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Robles Family Dental Office General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1740477470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13533 FRANCISQUITO AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064834",
            "telephone_number": "626-338-7070",
            "fax_number": "626-338-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13533 FRANCISQUITO AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064834",
            "telephone_number": "626-338-7070",
            "fax_number": "626-338-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MARIO",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.