Rancho Dental Office

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

44377 Issued in CA

Legal business name

RANCHO DENTAL OFFICE

Practice address

2010 N Riverside Ave
Suite a
Rialto, CA 92377-4652

Phone

(909) 421-1555

Fax

(909) 421-1865

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By 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. Fernando J Villarroel, DDSNPI 1912069899

Title

Owner

Phone

(909) 421-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Fernando J. Villarroel, D.D.S.

  • General Practice Dentistry
  • Rialto, CA
  • NPI 1912069899
  NPD (past) Authorized official
• Anthony W. Deza, D.D.S.

  • Dentist
  • Rialto, CA
  • NPI 1467641159
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1750576096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N RIVERSIDE AVE",
            "address_2": "SUITE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774652",
            "telephone_number": "909-421-1555",
            "fax_number": "909-421-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N RIVERSIDE AVE",
            "address_2": "SUITE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774652",
            "telephone_number": "909-421-1555",
            "fax_number": "909-421-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "VILLARROEL",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-421-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G93878-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Ramirez
• Paula Ramirez
• Shannon Ramirez, LVN
• Lisa Nicole Ramos
• Elizabeth Louise Ramsey
• T'Yana Jamylla Randall
• Diana Marie Randolph
• Jasmyne Diana Randolph
• Lalitha R. Rao, DDS.
• Hilde E Razo

• Dental Clinic/Center in Rialto, CA
• Providers in Rialto, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.