NPIMap

Organization Active NPI

G C Delaosa and R P Casanova DDS Dental Corp.

Doing business as Sunshine Dental Group

  • Dentist
  • El Monte, CA
National Provider Identifier
1760862189
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
G C DELAOSA AND R P CASANOVA DDS DENTAL CORP.
Doing business as
Sunshine Dental Group
Practice address
4161 Tyler Ave
El Monte, CA 91731-1966
Phone
(626) 579-4274
Fax
(626) 579-4294
NPI assigned
Jun 1, 2015
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Nicole Moreno
Title
H/R
Phone
(626) 579-4274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4161 Tyler Ave
El Monte, CA 91731-1966

Mailing address

4161 Tyler Ave
El Monte, CA 91731-1966
Phone (626) 579-4274

Other names 1

  • SUNSHINE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1760862189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311966",
            "telephone_number": "626-579-4274",
            "fax_number": "626-579-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TYLER AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311966",
            "telephone_number": "626-579-4274",
            "fax_number": "626-579-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G C DELAOSA AND R P CASANOVA DDS DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "H/R",
        "authorized_official_telephone_number": "626-579-4274"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.