San Gabriel Summit Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44218 Issued in CA

Legal business name

SAN GABRIEL SUMMIT DENTAL, INC.

Practice address

255 E Orange Grove Ave
Suite B
Burbank, CA 91502-1240

Phone

(818) 557-0964

Fax

(818) 848-1038

NPI assigned

Feb 6, 2007

Last updated

Jan 29, 2015By 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

Dr. Dina M San Gabriel, D.M.D.NPI 1124429774

Title

Dentist

Phone

(818) 557-0964

Specialties & licenses 1

Addresses

Locations

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.

• Dina San Gabriel, D.M.D.

  • Dentist
  • Burbank, CA
  • NPI 1124429774
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1750421319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E ORANGE GROVE AVE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021240",
            "telephone_number": "818-557-0964",
            "fax_number": "818-848-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E ORANGE GROVE AVE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021240",
            "telephone_number": "818-557-0964",
            "fax_number": "818-848-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL SUMMIT DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SAN GABRIEL",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-557-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ani Samsonyan
• Samuel Lirones Licensed Clinical Social Worker, PC
• Lykia Samuel
• Diana Samvelyan, BCBA
• San Bernardino Home Healthcare, Inc
• Dina San Gabriel, D.M.D.
• Cynthia San Martin Urbina
• San San Wai, M.D., a Medical Corporation
• Sanah Amir Sohrab DDS Inc (Star Kids Dental)
• Elise Sanborn

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, 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 Jan 29, 2015; 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.