Miguel Grillo, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

41411 Issued in CA

Legal business name

MIGUEL GRILLO, DMD

Practice address

12264 El Camino Real Ste 306
San Diego, CA 92130-3062

Phone

(858) 755-9810

Fax

(858) 755-9813

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa L Carrillo

Title

Office Manager

Phone

(858) 755-9810

Specialties & licenses 1

Addresses

Other names 1

• Prosthodontic Specialist of San Diego Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Agustin Grillo, MD

  • Prosthodontics
  • San Diego, CA
  • NPI 1942340104
  NPD (past)
• Andrew Lum, DMD

  • Periodontics
  • San Diego, CA
  • NPI 1134785058
  NPD (past)
• Michael Gary Lum, DDS

  • Prosthodontics
  • San Diego, CA
  • NPI 1619103546
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1831414200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303062",
            "telephone_number": "858-755-9810",
            "fax_number": "858-755-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303062",
            "telephone_number": "858-755-9810",
            "fax_number": "858-755-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL GRILLO, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-755-9810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "41411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosthodontic Specialist of San Diego",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frank Joseph Migliarese Jr., MD
• Natalie Grace Mignano, IDC
• Roger Mignosa, D.O.
• Alexandra Joy Mignucci, MD
• Miguel a Castro, Psy.D., Psychologist, Inc.
• Miguel Ramirez Aguilar
• Caitlin Marie Miguel
• Mariana Miguel
• Robert Francis Mihalik, NP, PA-C
• Alicia Mihalko

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.