Organization Active NPI

Romarico N. Galvan DMD Inc.

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1770730947
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033140 Issued in CA
Legal business name
ROMARICO N. GALVAN DMD INC.
Practice address
633 S San Gabriel Blvd
#110
San Gabriel, CA 91776-2754
Phone
(626) 286-4494
Fax
(626) 286-4588
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Romarico N Galvan, DMD
Title
President
Phone
(626) 286-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 033140 CA Primary

Addresses

Primary practice location

633 S San Gabriel Blvd
#110
San Gabriel, CA 91776-2754

Mailing address

633 S San Gabriel Blvd
#110
San Gabriel, CA 91776-2754
Phone (626) 286-4494

Other identifiers 1

IdentifierTypeStateIssuer
B33140-01MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Romarico N Galvan DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

633 S San Gabriel Blvd
Ste 110
San Gabriel, CA 91776
Phone (626) 286-4494

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1770730947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S SAN GABRIEL BLVD",
            "address_2": "#110",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762754",
            "telephone_number": "626-286-4494",
            "fax_number": "626-286-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 S SAN GABRIEL BLVD",
            "address_2": "#110",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762754",
            "telephone_number": "626-286-4494",
            "fax_number": "626-286-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMARICO N. GALVAN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "ROMARICO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-286-4494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B33140-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.