Irma Gavaldon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

60022 Issued in CA

Practice address

8505 Navajo Rd
San Diego, CA 92119-2001

Phone

(619) 828-1657

NPI assigned

Mar 17, 2008

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gavaldon Dental Corporation

  • Dentist
  • San Diego, CA
  • NPI 1366259590
  NPD Authorized official
• Richard T Masek DDS Inc

  dba Dental Expressions

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1386754174
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1831360973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 NAVAJO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192001",
            "telephone_number": "714-742-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 NAVAJO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192001",
            "telephone_number": "619-828-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVALDON",
        "first_name": "IRMA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60022",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382406558",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rupali Gautam, DO
• Gauthier Family Chiropractic Inc.
• Michael Gauthier, DACM, L.AC
• Leachea Lee Gautier
• Gavaldon Dental Corporation
• Itsell Gavilanes Mendoza
• Jamie Gavino
• Edward D Gaviola
• Joshua Reuben Capistrano Gaviola
• Igor Gavrilyuk, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.