Debi Tech, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

2378190 Issued in ZZ

Legal business name

DEBI TECH, INC.

Practice address

641 E San Ysidro Blvd
B3-128
San Ysidro, CA 92173-3129

Phone

(858) 232-7013

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mario Mireles

Title

Member

Phone

(858) 232-7013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1811448376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 E SAN YSIDRO BLVD",
            "address_2": "B3-128",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733129",
            "telephone_number": "858-232-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 E SAN YSIDRO BLVD",
            "address_2": "B3-128",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733129",
            "telephone_number": "858-232-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBI TECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "858-232-7013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ZZ",
            "license": "2378190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitza Corrales, PPS, MS
• Ann Crawford-Day, MD, MPH
• Sergio Cuevas, DDS
• Mel Dandan, OTA
• Charles R Davis
• Dental Administratve Services
• Briana Diggins
• Fernando Alfonso Dominguez, MD
• Jay Downey, M.D.
• Susan Darsann Driscoll, ARNP

• Dentist in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.