Organization Active NPI

Maria Z. Carbajal, DDS, Inc

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1801403712
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARIA Z. CARBAJAL, DDS, INC
Practice address
611 N Euclid Ave
Ontario, CA 91762-3223
Phone
(909) 235-4148
Fax
(909) 235-4636
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Maria Zaida Carbajal, DDS
Title
Dentist
Phone
(909) 235-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

611 N Euclid Ave
Ontario, CA 91762-3223

Mailing address

4581 Saint Andrews Dr
Chino Hills, CA 91709-7967
Phone (818) 324-1495

National Provider Directory

National Provider Directory

Locations

611 N Euclid Ave
Ontario, CA 91762
Phone (909) 235-4148

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1801403712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 SAINT ANDREWS DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097967",
            "telephone_number": "818-324-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623223",
            "telephone_number": "909-235-4148",
            "fax_number": "909-235-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA Z. CARBAJAL, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "CARBAJAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ZAIDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-235-4148",
        "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": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.