Alejandro Ortiz Gallardo

Primary specialty

DentistTaxonomy code 122300000X

License

108050 Issued in CA

Practice address

1541 E 2ND St Ste 200
Beaumont, CA 92223-3181

Phone

(951) 797-5920

NPI assigned

Sep 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sahawneh Dental Corporation

  dba Bright Now Dental - Beaumont

  • Dentist
  • Beaumont, CA
  • NPI 1700474731
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1790407757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27813 SOLITUDE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925557102",
            "telephone_number": "760-540-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 E 2ND ST STE 200",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233181",
            "telephone_number": "951-797-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ GALLARDO",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Odhiambo, RN
• Terri Lynn Oliveira
• Stevie Kristine Olney, O.D.
• Funmilayo Falese Olukanni
• Glenda Ediesca Ong, O.D.
• Johanna Padilla
• Susan G Pak, P.A.
• Daniel C Park, D.D.S.
• Mo a Park, PHARM.D
• Diana A. Parra, CD/PDT (MG)

• Dentist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.