Ernesto Delgado Perez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104599 Issued in CA

Practice address

31754 Temecula Pkwy Ste E
Temecula, CA 92592-6805

Phone

(951) 694-5255

NPI assigned

Dec 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1760020002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 JEFFERSON AVE UNIT 3362",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940647222",
            "telephone_number": "650-218-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31754 TEMECULA PKWY STE E",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926805",
            "telephone_number": "951-694-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO PEREZ",
        "first_name": "ERNESTO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "104599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefania Puyat Del Rosario, MD
• Yackelin Del Toro
• Nadalie Delatorre
• Andria Lyn Deleon
• Sara Deleon, PSYD
• David Delgado
• Grace Kristine Delgado
• Jasmine Delgado
• Logan Delgado
• Maria Esmeralda Delgado

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, 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 Dec 17, 2019; 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.