J.C. Velosa Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

J.C. VELOSA DENTAL CORP

Doing business as

Luna Family Dental, Dental Office of J.C Velosa Dental Corp

Practice address

18790 Valley Blvd Ste D
Bloomington, CA 92316-2241

Phone

(909) 873-5066

Fax

(909) 873-9716

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Velosa, DDSNPI 1194939009

Title

Dentist

Phone

(626) 840-6862

Specialties & licenses 1

Addresses

Other names 1

• LUNA FAMILY DENTAL, DENTAL OFFICE OF J.C VELOSA DENTAL CORP Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Carlos Velosa, DDS

  • General Practice Dentistry
  • Baldwin Park, CA
  • NPI 1194939009
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1770165953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18790 VALLEY BLVD STE D",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162241",
            "telephone_number": "909-873-5066",
            "fax_number": "909-873-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18790 VALLEY BLVD STE D",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162241",
            "telephone_number": "909-873-5066",
            "fax_number": "909-873-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. VELOSA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "VELOSA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-840-6862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUNA FAMILY DENTAL, DENTAL OFFICE OF J.C VELOSA DENTAL CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Huston
• Robin Lynne Hyde
• Patricia Ibarra
• Faiza Iram, MD
• J and C Medical Transportation Inc. (J and C Medical Transportation)
• Regina Gloria Jimenez
• Alexis Johnson
• Nancy Carolina Johnson, LCSW
• Scott David Johnson
• Maneek Kaler

• General Practice Dentistry in Bloomington, CA
• Providers in Bloomington, 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 Apr 28, 2021; 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.