Individual provider Active NPI

Andrea Julia Mobilia, DDS

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1811281462
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60354 Issued in CA
Practice address
4168 N Sierra Way
San Bernardino, CA 92407-3819
Phone
(909) 886-8900
NPI assigned
May 31, 2011
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60354 CA Primary

Addresses

Primary practice location

4168 N Sierra Way
San Bernardino, CA 92407-3819

Mailing address

783 Santa Fe LN
Colton, CA 92324-6338
Phone (909) 872-1878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sleep Apnea Solutions Inc. General Practice Current Accepting new patients
Sierra Gateway Dental Office Past Accepting new patients
Parth Karia DMD Inc General Practice PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1811281462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 SANTA FE LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246338",
            "telephone_number": "909-872-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4168 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073819",
            "telephone_number": "909-886-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBILIA",
        "first_name": "ANDREA",
        "middle_name": "JULIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.