Active NPI
Ricardo Luis Vargas, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Concord, CA
National Provider Identifier
1831768605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 100337
- Practice address
- 2991 Treat Blvd Ste F
Concord, CA 94518-3604 - Phone
- (925) 689-4790
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 100337 | CA | Primary |
Addresses
Primary practice location
2991 Treat Blvd Ste F
Concord, CA 94518-3604
Mailing address
3171 San Gabriel Dr
Concord, CA 94518-2804
Phone (209) 605-1044
Other practice location 1
2084 Fourth St
Livermore, CA 94550-4460
Phone (925) 447-7799
Other practice location 2
1443 Cedarwood Ln Ste A
Pleasanton, CA 94566-6138
Phone (925) 846-0363
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100337 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1831768605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3171 SAN GABRIEL DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945182804",
"telephone_number": "209-605-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2991 TREAT BLVD STE F",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183604",
"telephone_number": "925-689-4790"
}
],
"practiceLocations": [
{
"address_1": "2084 Fourth St",
"address_purpose": "LOCATION",
"city": "Livermore",
"state": "CA",
"postal_code": "945504460",
"country_code": "US",
"telephone_number": "925-447-7799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1443 Cedarwood Ln Ste A",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "CA",
"postal_code": "945666138",
"country_code": "US",
"telephone_number": "925-846-0363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "RICARDO",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "100337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.