Organization Active NPI

Comfort Dental

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1790147502
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44046 Issued in CA
Legal business name
COMFORT DENTAL
Practice address
9040 Huntington Dr
San Gabriel, CA 91775
Phone
(626) 792-1755
Fax
(626) 872-1901
NPI assigned
Mar 22, 2016
Organization subpart
Yes
Parent organization
COMFORT DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Dr. Julian L. Nguyen, DMDNPI 1720203631
Title
Ceo
Phone
(626) 792-1755

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44046 CA Primary

Addresses

Primary practice location

9040 Huntington Dr
San Gabriel, CA 91775

Mailing address

1090 Linda Vista Ave
Pasadena, CA 91103
Phone (626) 792-1755

Other names 1

  • Julian L. Nguyen DMD, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Julian L Nguyen DMD Inc2 organizations share this tax ID, including this one
Part of
Julian L Nguyen DMD Inc

Other organizations with this tax ID 1

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

Locations

9040 Huntington Dr
San Gabriel, CA 91775
Phone (626) 792-1755

Practitioners & affiliated clinicians

Practitioners 1

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1790147502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 LINDA VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91103",
            "telephone_number": "626-792-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 HUNTINGTON DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91775",
            "telephone_number": "626-792-1755",
            "fax_number": "626-872-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORT DENTAL",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-792-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julian L. Nguyen DMD, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Julian L. Nguyen DMD, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2022; 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.