Organization Active NPI

Vijay Munagala DDS Inc

  • Dental Clinic/Center
  • Castro Valley, CA
National Provider Identifier
1760032007
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VIJAY MUNAGALA DDS INC
Practice address
20212 Redwood Rd Ste 101
Castro Valley, CA 94546-4324
Phone
(510) 886-6416
Fax
(510) 886-4827
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Dr. Vijay Munagala, DDSNPI 1104080522
Title
Dentist
Phone
(510) 886-6416

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20212 Redwood Rd Ste 101
Castro Valley, CA 94546-4324

Mailing address

2245 Tahiti Dr
San Ramon, CA 94582-1432
Phone (240) 529-5987

National Provider Directory

National Provider Directory

Locations

20212 Redwood Rd
Ste 101
Castro Valley, CA 94546
Phone (510) 886-6416

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": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1760032007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 TAHITI DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945821432",
            "telephone_number": "240-529-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464324",
            "telephone_number": "510-886-6416",
            "fax_number": "510-886-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY MUNAGALA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "MUNAGALA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-886-6416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.